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NPI Code Detail

MEDICARE: COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.

MEDICARE: COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
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
1122300000XDentist

General Provider Information

NPI Number : 1033085345
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Provider Business Mailing Address
First Line : 400 MILESTONE BLVD
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-6579
Country : US
Telephone Number : 448-327-3423
Fax Number :
Provider Business Practice Location Address
First Line : 400 MILESTONE BLVD
Second Line :
City : CANTONMENT
State : FL
Zip : 32533-6579
Country : US
Telephone Number : 448-327-3423
Fax Number :
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : CEMYIRA MCDOUGAL
Credential :
Telephone Number : 217-764-8609
Provider Enumeration Date : 10/14/2025
Last Update Date : 10/14/2025

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Directions to “COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A. ” Practice Location

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