| Meadows Adult Dental Services Sr 64 Llc | |
|
9916 E State Road 64 Bradenton FL 34212-5303 | |
| (941) 745-1143 | |
| (941) 708-0555 |
| Full Name | Meadows Adult Dental Services Sr 64 Llc |
|---|---|
| Speciality | Dentist |
| Location | 9916 E State Road 64, Bradenton, Florida |
| Authorized Official Name and Position | George J Meadows (MANAGING MEMBER) |
| Authorized Official Contact | 9417451143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadows Adult Dental Services Sr 64 Llc 9916 E State Road 64 Bradenton FL 34212-5303 Ph: (941) 745-1143 | Meadows Adult Dental Services Sr 64 Llc 9916 E State Road 64 Bradenton FL 34212-5303 Ph: (941) 745-1143 |
| NPI Number | 1134524424 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134524424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Florida) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (Florida) | Secondary |
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