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Dr. Trevor Dooley

Dentist, General Practice in Palmetto, FL. Individual provider (NPI-1).

NPI number1619709730
StatusActive
Last updated in NPPESAug 16, 2024

Details

NPI
1619709730
Entity type
Individual (NPI-1)
Name
Dr. Trevor Dooley
Sex
Male
Sole proprietor
No
Enumeration date
Aug 16, 2024
Certification date
Aug 16, 2024
Last updated
Aug 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDN29551FLYes

Practice location

579 10th St E
Palmetto, FL 34221-4013

Phone 941-315-9914

Mailing address

600 Technology Park Ste 101
Lake Mary, FL 32746-7122

Phone 407-543-8514

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