EUSTIS FAMILY DENTAL SPA LLC NPI 1356917512

NPI Information

EUSTIS FAMILY DENTAL SPA, LLC is an oral and maxillofacial surgery dentist in Eustis, FL. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. EUSTIS FAMILY DENTAL SPA, LLC NPI is 1356917512. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 N EUSTIS ST
EUSTIS, FL
ZIP 32726-908
Phone: (352) 357-1212

The provider's authorized official is James Magee .
The authorized official title is Doctor and has the following contact phone number (352) 357-1212.

The enumeration date for this NPI number is 5/28/2021 and was last updated on 5/28/2021.

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:

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