The Main Street Dentists Inc in Leesburg - Dentist
The Main Street Dentists Inc - NPI 1265500565
The Main Street Dentists Inc is a Dentist in Leesburg, Florida. The Main Street Dentists Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for The Main Street Dentists Inc is 1265500565. The last update date is 2008-09-04.
The Main Street Dentists Inc's current location address is 606 W Magnolia Street, Leesburg, Florida. You can contact this provider via phone number 3527874800 and fax number 3527879091. The mailing address for The Main Street Dentists Inc is 606 W Magnolia Street, Leesburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Main Street Dentists Inc |
|---|---|
| Address | 606 W Magnolia Street, Leesburg, Florida |
| Phone Number | 3527874800 |
| Fax Number | 3527879091 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DR & PRESI |
|---|---|
| Authorized Official Name | Mehr David Jon |
| Credentials | DDS |
| Telephone Number | 3527874800 |
NPI Number Detail
| NPI Number | 1265500565 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2008-09-04 |
Provider Mailing Address Detail
| Address | 606 W Magnolia Street |
|---|---|
| City | Leesburg |
| State | Florida (FL) |
| Post Code | 34748 |
| Phone Number | 3527874800 |
| Fax Number | 3527879091 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN0014896 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1364448 | UNITED CONCORDIA | ||
| 36839 | BLUE CROSS BLUE SHIELD | ||
| 749700 | UNITED CONCORDIA | ||
| 36838 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to The Main Street Dentists Inc by the Centers for Medicare & Medicaid Services?
The The Main Street Dentists Inc has been assigned the NPI (National Provider Identifier) 1265500565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where The Main Street Dentists Inc's facilities are geographically located?
The facilities of The Main Street Dentists Inc are physically situated at the following location: 606 W Magnolia Street, Leesburg, FL, 34748.
What is the The Main Street Dentists Inc's area of specialization and corresponding taxonomy classification?
The The Main Street Dentists Inc's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265500565 to The Main Street Dentists Inc?
The Centers for Medicare & Medicaid Services originally issued the 1265500565 to The Main Street Dentists Inc on 2006-12-04.
As of what date was the information regarding The Main Street Dentists Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to The Main Street Dentists Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-04.
NPI Number: 1669475612
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
NPI Number: 1912900960
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL