3d-Dentistry LLC
Dentist, General Practice in Bradenton, FL. Organization (NPI-2).
NPI number1689124158
StatusActive
Last updated in NPPESOct 9, 2016
Details
- NPI
- 1689124158
- Entity type
- Organization (NPI-2)
- Legal business name
- 3d-Dentistry LLC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2016
- Last updated
- Oct 9, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN21483 | FL | Yes |
Practice location
14730 2nd Avenue Cir NeBradenton, FL 34212-5577
Phone 205-790-5866
Mailing address
1842 Rye Rd106
Bradenton, FL 34212-9038
Authorized official
Patricia Devilliers
Owner
2057905866
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