Healthcare Provider Details

I. General information

NPI: 1942288170
Provider Name (Legal Business Name): DONALD CHRISTOPHER BELCHER D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15100 RESCUE WAY USCG AIR STATION CLEARWATER
CLEARWATER FL
33762-3524
US

IV. Provider business mailing address

320 HOLLY HILL RD
OLDSMAR FL
34677-2021
US

V. Phone/Fax

Practice location:
  • Phone: 727-535-1437
  • Fax:
Mailing address:
  • Phone: 727-784-4765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number040215
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: