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NPI Code Detail

MEDICARE: BELLEFONTE CHILDRENS DENTISTRY PC

MEDICARE: BELLEFONTE CHILDRENS DENTISTRY PC
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
11223P0221XPediatric DentistryDN 20970FL

General Provider Information

NPI Number : 1023182029
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELLEFONTE CHILDRENS DENTISTRY PC
Provider Business Mailing Address
First Line : 1879 VETERANS PARK DR
Second Line : SUITE1203
City : NAPLES
State : FL
Zip : 34109-0500
Country : US
Telephone Number : 239-260-7672
Fax Number : 239-790-0927
Provider Business Practice Location Address
First Line : 1879 VETERANS PARK DR
Second Line : SUITE1203
City : NAPLES
State : FL
Zip : 34109-0500
Country : US
Telephone Number : 239-260-7672
Fax Number : 239-790-0927
Authorized Official
Title or Position : PRESIDENT / PEDIATRIC DENTIST
Name : DR. JENNIFER BARONIS HUGHES
Credential : DMD
Telephone Number : 239-260-7672
Provider Enumeration Date : 11/20/2006
Last Update Date : 05/10/2016

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Directions to “BELLEFONTE CHILDRENS DENTISTRY PC ” Practice Location

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