Thomas Kevin Bailey, D.M.D.

Individual provider Active NPI General Practice Dentistry · Lady Lake, FL

NPI 1497854871 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497854871
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
FLDN0012652 (FL)
Practice address
13700 N US Highway 441
Lady Lake, FL 32159-8980
Phone
(352) 259-0822
Fax
(352) 259-4743
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
FLDN0012652FLMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X FLDN0012652 FL Yes

Addresses

Primary practice location

13700 N US Highway 441
Lady Lake, FL 32159-8980

Mailing address

2335 SW 80TH St
Ocala, FL 34476-2700
Phone (352) 873-4868

Other providers in Lady Lake, FL

All providers in Lady Lake, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.