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Organization
MIDWAY PREMIER DENTAL, LLC
Active
Organization
MIDWAY PREMIER DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GAMMONS (PRESIDENT)
(321) 286-7916
Entity
Organization
Contact information
Practice address
4169 E STATE ROAD 46 STE 1001, SANFORD, FL 32771-8666
(321) 286-7916
Mailing address
4169 E STATE ROAD 46 STE 1001, SANFORD, FL 32771-8666
(321) 286-7916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
08/24/2026
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