NPI 1689124158 · live from the CMS NPI Registry
3d-Dentistry LLC
Dentist, General Practice in Bradenton, FL. National Provider Identifier 1689124158, active.
NPI record
| NPI | 1689124158 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 14730 2nd Avenue Cir Ne, Bradenton, FL 34212 |
| Practice phone | 205-790-5866 |
| Mailing address | 1842 Rye Rd, 106, Bradenton, FL 34212 |
| Enumerated | October 9, 2016 |
| Last updated | October 9, 2016 |
| Authorized official | Patricia Devilliers, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | DN21483 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.