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NPI Code Detail

MEDICARE: STEVEN R SERKIN D.D.S.

MEDICARE:   STEVEN R SERKIN  D.D.S.
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 Dentistry6453FL

General Provider Information

NPI Number : 1902059660
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN R SERKIN D.D.S.
Provider Business Mailing Address
First Line : 42 BAY POINTE DRIVE
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174
Country : US
Telephone Number : 407-310-4843
Fax Number :
Provider Business Practice Location Address
First Line : 42 BAY POINTE DR
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-9233
Country : US
Telephone Number : 407-310-4843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2008
Last Update Date : 10/28/2008

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Directions to “ STEVEN R SERKIN D.D.S.” Practice Location

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