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NPI Code Detail

MEDICARE: DONALD L. WEXLER, DDS PHD PA

MEDICARE: DONALD L. WEXLER, DDS PHD 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
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryDN0014683FL

General Provider Information

NPI Number : 1235358839
Entity Type Code : Organization
Provider Name (Legal Business Name) : DONALD L. WEXLER, DDS PHD PA
Provider Business Mailing Address
First Line : 1222 MARINER BLVD
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-5657
Country : US
Telephone Number : 352-688-0331
Fax Number :
Provider Business Practice Location Address
First Line : 573 N DACIE PT
Second Line :
City : LECANTO
State : FL
Zip : 34461-8399
Country : US
Telephone Number : 352-527-9927
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DONALD LEE WEXLER
Credential : DDS
Telephone Number : 352-688-0331
Provider Enumeration Date : 04/24/2007
Last Update Date : 08/22/2020

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