in Merritt Island - Dentist

- NPI 1467563528

is a Dentist in Merritt Island, Florida. practices all healthcare services and medical treatments related to Dentist. The NPI Number for is 1467563528. The last update date is .

's current location address is 100 Fortenberry Rd, Merritt Island, Florida. You can contact this provider via phone number 3214592022 and fax number 3214591203. The mailing address for is 100 Fortenberry Rd, Merritt Island, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 100 Fortenberry Rd, Merritt Island, Florida
Phone Number 3214592022
Fax Number 3214591203
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1467563528
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 100 Fortenberry Rd
City Merritt Island
State Florida (FL)
Post Code 32952
Phone Number 3214592022
Fax Number 3214591203

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 8902
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

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