Comfortable Care Dental Health Professionals, P.A.
Dentist, General Practice in Davenport, FL. Organization (NPI-2).
NPI number1114679727
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1114679727
- Entity type
- Organization (NPI-2)
- Legal business name
- Comfortable Care Dental Health Professionals, P.A.
- Organization subpart
- Yes
- Enumeration date
- Jan 25, 2022
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Dental Care At Champions Crossing (Doing Business As)
Practice location
1101 Champions DrDavenport, FL 33897-7467
Phone 863-438-1912
Mailing address
1101 Champions DrDavenport, FL 33897-7467
Phone 863-438-1912
Authorized official
Celia Hayes
Credentialing Coordinator
2175402100
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