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NPI Code Detail

MEDICARE: DR. MAYUR JAYANTILAL MEHTA DDS.,MD.PA.

MEDICARE: DR. MAYUR JAYANTILAL MEHTA DDS.,MD.PA.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN0011489FL

General Provider Information

NPI Number : 1598887150
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAYUR JAYANTILAL MEHTA DDS.,MD.PA.
Provider Business Mailing Address
First Line : 3488 E LAKE RD
Second Line : SUITE 401
City : PALM HARBOR
State : FL
Zip : 34685-2404
Country : US
Telephone Number : 727-785-7461
Fax Number : 727-786-1065
Provider Business Practice Location Address
First Line : 3488 E LAKE RD
Second Line : SUITE 401
City : PALM HARBOR
State : FL
Zip : 34685-2404
Country : US
Telephone Number : 727-785-7461
Fax Number : 727-786-1065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2007
Last Update Date : 07/08/2007

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