Mulberry Dental Care Inc.
Organization Active NPI General Practice Dentistry · Mulberry, FL
NPI 1972675809 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1972675809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN13663 (FL)
- Legal business name
- MULBERRY DENTAL CARE INC.
- Practice address
- 105 N Church Ave
Mulberry, FL 33860-2413 - Phone
- (863) 869-8888
- Fax
- (863) 869-8880
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Fariba Shafii, DDS
- Title
- Owner
- Phone
- (863) 869-8888
Practitioners 2
-
Masoud K. Farzaneh, DDS
-
Fariba Shafii, DDS
National Provider Directory
Locations
105 N Church Ave
Mulberry, FL 33860
Phone (863) 869-8888
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DN13663 | FL | Yes |
Addresses
Primary practice location
105 N Church Ave
Mulberry, FL 33860-2413
Mailing address
105 N Church Ave
Mulberry, FL 33860-2413
Phone (863) 869-8888
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN13663 | Other | FL | DR. SHAFII'S LICENSE # |
| DN 13817 | Other | FL | DR. FARZANEH'S LICENSE # |
Other providers in Mulberry, FL
- Menard Home Healthcare LLC
- Terri Lisa Milholin
- Margaret Miscalin
- Viviana Patricia Mora
- Ashley Morin
- Mulberry Food and Pharmacy LLC
- Mulberry LTC Pharmacy, LLC
- Mulberry Pharmacy Inc
- Steven Lamar Nichols
- Cruz Migdalia Nieves
All providers in Mulberry, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.