Comfortable Care Dental Health Professionals, P.A.
Dentist, General Practice in Summerfield, FL. Organization (NPI-2).
NPI number1558095307
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1558095307
- Entity type
- Organization (NPI-2)
- Legal business name
- Comfortable Care Dental Health Professionals, P.A.
- Organization subpart
- Yes
- Enumeration date
- Jul 15, 2022
- Certification date
- Jul 15, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Summerfield Dental Care (Doing Business As)
Practice location
17801 Se 109th AveSummerfield, FL 34491-8967
Phone 352-480-5732 · Fax 352-480-5957
Mailing address
17801 Se 109th AveSummerfield, FL 34491-8967
Phone 352-480-5732 · Fax 352-480-5957
Authorized official
Celia Hayes
Credentialing Coordinator
2175402100
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