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NPI Code Detail

MEDICARE: HMC DENTAL SERVICES, INC

MEDICARE: HMC DENTAL SERVICES, INC
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
11223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DN20482OTHERFLDENTIST

General Provider Information

NPI Number : 1538765144
Entity Type Code : Organization
Provider Name (Legal Business Name) : HMC DENTAL SERVICES, INC
Provider Business Mailing Address
First Line : 6607 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3985
Country : US
Telephone Number : 813-499-1500
Fax Number :
Provider Business Practice Location Address
First Line : 6607 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33614-3985
Country : US
Telephone Number : 813-499-1500
Fax Number :
Authorized Official
Title or Position : GENRAL MANAGER
Name : JOSE ARTICA
Credential :
Telephone Number : 813-499-1500
Provider Enumeration Date : 12/09/2020
Last Update Date : 12/09/2020

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Directions to “HMC DENTAL SERVICES, INC ” Practice Location

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