3D-Dentistry LLC
Organization Active NPI General Practice Dentistry · Bradenton, FL
NPI 1689124158 · NPPES record last updated Oct 9, 2016
Key facts
- NPI
- 1689124158
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN21483 (FL)
- Legal business name
- 3D-DENTISTRY LLC
- Practice address
- 14730 2ND Avenue Cir NE
Bradenton, FL 34212-5577 - Phone
- (205) 790-5866
- NPI assigned
- Oct 9, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Patricia Devilliers, DDS
- Title
- Owner
- Phone
- (205) 790-5866
National Provider Directory
Locations
1842 Rye Rd
#106
Bradenton, FL 34212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DN21483 | FL | Yes |
Addresses
Primary practice location
14730 2ND Avenue Cir NE
Bradenton, FL 34212-5577
Mailing address
1842 Rye Rd
106
Bradenton, FL 34212-9038
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.