Organization
GENTLE CARE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W. CHURCH DDS (OWNER)
(321) 453-7047
Entity
Organization
Contact information
Practice address
400 E MERRITT AVE, SUITE B, MERRITT ISLAND, FL 32953-3434
(321) 453-7047
(321) 453-4449
Mailing address
400 E MERRITT AVE, SUITE B, MERRITT ISLAND, FL 32953-3434
(321) 453-7047
(321) 453-4449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN-4541
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN-4541
STATE OF FL BOARD OF DENT
FL
Enumeration date
02/05/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us