IMPLANTS PERIODONTICS & FACIAL REJUVENATION NPI 1104198282

NPI Information

NPI: 1104198282
Provider Name: IMPLANTS, PERIODONTICS & FACIAL REJUVENATION
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2346 CREEL LN STE 101
WESLEY CHAPEL, FL
ZIP 33544
Phone: (813) 299-3867
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IMPLANTS, PERIODONTICS & FACIAL REJUVENATION is a dental clinic center in Wesley Chapel, FL. IMPLANTS, PERIODONTICS & FACIAL REJUVENATION NPI is 1104198282. The provider is registered as an organization entity type.

The provider's business location address is:

2346 CREEL LN STE 101
WESLEY CHAPEL, FL
ZIP 33544-623
Phone: (813) 299-3867

The provider's authorized official is Todd Merrell Williams .
The authorized official title is Ceo and has the following contact phone number (813) 299-3867.

The enumeration date for this NPI number is 2/3/2012 and was last updated on 2/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DN012810	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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