Dental Centre of West FL, PA

Organization Active NPI General Practice Dentistry · Bradenton, FL

NPI 1316152192 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1316152192
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN-10682 (FL)
Legal business name
DENTAL CENTRE OF WEST FL, PA
Practice address
6400 Manatee Ave W
Ste. L
Bradenton, FL 34209-2378
Phone
(941) 795-6535
Fax
(941) 795-7435
NPI assigned
May 14, 2007
Organization subpart
No

Authorized official

Name
Dr. Joseph Walker Holmes, DDS
Title
President
Phone
(941) 795-6535

Corporate family (same tax ID) 1

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

National Provider Directory

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

Specialties & licenses

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

Addresses

Primary practice location

6400 Manatee Ave W
Ste. L
Bradenton, FL 34209-2378

Mailing address

6400 Manatee Ave W
Ste. L
Bradenton, FL 34209-2378
Phone (941) 795-6535

Other providers in Bradenton, FL

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

Sources for this page

Verify at the official NPI Registry.