Anna Maria Island Dental Inc.

Organization Active NPI General Practice Dentistry · Holmes Beach, FL

NPI 1265729172 · NPPES record last updated Jun 30, 2011

Key facts

NPI
1265729172
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN12356 (FL)
Legal business name
ANNA MARIA ISLAND DENTAL INC.
Practice address
5319 Gulf Dr
Holmes Beach, FL 34217-1742
Phone
(941) 778-1122
NPI assigned
Jun 30, 2011
Organization subpart
No

Authorized official

Name
Dr. Andrew Jack Martineau, D.M.D.
Title
Director
Phone
(941) 778-1122

National Provider Directory

Locations

5319 Gulf Dr
Holmes Beach, FL 34217
Phone (941) 778-1122

16528 N Dale Mabry Hwy
Tampa, FL 33618

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DN12356 FL Yes

Addresses

Primary practice location

5319 Gulf Dr
Holmes Beach, FL 34217-1742

Mailing address

16528 N Dale Mabry Hwy
Tampa, FL 33618-1325
Phone (813) 961-0094

Other providers in Holmes Beach, FL

All providers in Holmes Beach, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.