Buena Vista Dental
Dentist, General Practice in The Villages, FL. Organization (NPI-2).
NPI number1861694895
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1861694895
- Entity type
- Organization (NPI-2)
- Legal business name
- Buena Vista Dental
- Organization subpart
- No
- Enumeration date
- Jun 1, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14138 | FL | Yes |
Practice location
1950 Laurel Manor DrSuite #160
The Villages, FL 32162-5603
Phone 352-259-7950 · Fax 352-430-0428
Mailing address
1950 Laurel Manor DriveSuite #160
The Villages, FL 32162
Phone 352-259-7950 · Fax 352-430-0428
Authorized official
David F. Barnett
Owner
3522597950
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