Organization
PINELLAS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY MONTGOMERY-EASLEY DMD (OWNER/DENTIST)
(863) 808-6124
Entity
Organization
Contact information
Practice address
4020 PORTSMOUTH RD, LARGO, FL 33771-3318
(727) 335-2500
Mailing address
14699 113TH AVE, LARGO, FL 33774-4309
(863) 808-6124
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
03/18/2024
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