NPI 1598138679 · live from the CMS NPI Registry
113th Street Seminole Dental LLC
Dentist in Seminole, FL. National Provider Identifier 1598138679, active.
NPI record
| NPI | 1598138679 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 8500 113th St, Suite B, Seminole, FL 33772 |
| Practice phone | 727-392-3900 |
| Enumerated | November 11, 2015 |
| Last updated | November 11, 2015 |
| Authorized official | William Layman, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 15686 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.