MEDICARE: FAMILY DENTAL CARE

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
1	122300000X	Dentist	DN8977	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073683231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY DENTAL CARE

Provider Business Mailing Address
First Line	:	33273 CORTEZ BLVD
Second Line	:
City	:	RIDGE MANOR
State	:	FL
Zip	:	33523-9008
Country	:	US
Telephone Number	:	352-583-4444
Fax Number	:	352-583-5161

Provider Business Practice Location Address
First Line	:	33273 CORTEZ BLVD
Second Line	:
City	:	RIDGE MANOR
State	:	FL
Zip	:	33523-9008
Country	:	US
Telephone Number	:	352-583-4444
Fax Number	:	352-583-5161

Authorized Official
Title or Position	:	DENTIST PA
Name	:	DR. DARSHAN SINGH
Credential	:	DDS
Telephone Number	:	813-783-1119

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	08/01/2008

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Directions to “FAMILY DENTAL CARE ” Practice Location

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