BRANDON FAMILY DENTAL CARE LLC NPI 1679116412

NPI Information

BRANDON FAMILY DENTAL CARE LLC is a general practice dentist in Brandon, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BRANDON FAMILY DENTAL CARE LLC NPI is 1679116412. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

227 N KNIGHTS AVE
BRANDON, FL
ZIP 33510-390
Phone: (813) 685-5610
Fax: (813) 689-5904

The provider's authorized official is Donna L Licause .
The authorized official title is Office Manager and has the following contact phone number (813) 685-5611.

The enumeration date for this NPI number is 10/24/2019 and was last updated on 12/18/2019.

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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