Dentalcentre of West FL. PA

Organization Active NPI General Practice Dentistry · Wauchula, FL

NPI 1285849075 · NPPES record last updated Sep 11, 2012

Key facts

NPI
1285849075
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN 10682 (FL)
Legal business name
DENTALCENTRE OF WEST FL. PA
Practice address
203 South 7TH Ave
Wauchula, FL 33873
Phone
(863) 773-9852
Fax
(863) 773-5005
NPI assigned
May 14, 2007
Organization subpart
No

Authorized official

Name
Dr. Joseph W Holmes, DDS
Title
Owner/President
Phone
(863) 773-9852

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Dental Centre of West FL PA (2 organizations share this tax ID)

Locations

203 S 7th Ave
Wauchula, FL 33873
Phone (863) 773-9852

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DN 10682 FL Yes

Addresses

Primary practice location

203 South 7TH Ave
Wauchula, FL 33873

Mailing address

203 South 7TH Ave
Wauchula, FL 33873
Phone (863) 773-9852

Other providers in Wauchula, FL

All providers in Wauchula, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.