MEDICARE: SAPPHIRE DENTAL AFFILIATES 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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1932346491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAPPHIRE DENTAL AFFILIATES PA

Provider Business Mailing Address
First Line	:	2415 SW 27TH AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-0807
Country	:	US
Telephone Number	:	352-237-6196
Fax Number	:

Provider Business Practice Location Address
First Line	:	2415 SW 27TH AVE
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34471-0807
Country	:	US
Telephone Number	:	352-237-6196
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. MICHAEL JAMES REUSCHEL
Credential	:
Telephone Number	:	352-237-6196

Provider Enumeration Date	:	01/20/2009
Last Update Date	:	01/20/2009

Similar Medicare Providers

1588513253 — CHAD MOSELEY HAS
Practice Location Address:

2433 SW 27TH AVE
OCALA, FL
34471-0807

Practice Phone: 352-830-1002
Practice Fax:

1780788604 — HOLIDAY CVS LLC
Practice Location Address:

2401 SW 27TH AVE
OCALA, FL
34471-0807

Practice Phone: 352-237-6206
Practice Fax:

1457677031 — MRS. DONNA L HOPE RPH
Practice Location Address:

2403 SW 27TH AVE
OCALA, FL
34471-0807

Practice Phone: 352-237-0143
Practice Fax: 352-861-7116

1972982155 — IVELISSE CORREA M.A
Practice Location Address:

2497 SW 27TH AVE # 1096
OCALA, FL
34471-0807

Practice Phone: 352-322-8747
Practice Fax:

1356945430 — PRAKASH R CHICKAKURAGODU RPH
Practice Location Address:

2401 SW 27TH AVE
OCALA, FL
34471-0807

Practice Phone: 352-237-6206
Practice Fax: 352-237-9571

1679178685 — TRISH HO
Practice Location Address:

2401 SW 27TH AVE
OCALA, FL
34471-0807

Practice Phone: 352-237-6206
Practice Fax:

Directions to “SAPPHIRE DENTAL AFFILIATES PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.