Organization
BRANDON FAMILY DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA L LICAUSE (OFFICE MANAGER)
(813) 685-5611
Entity
Organization
Contact information
Practice address
227 N KNIGHTS AVE, BRANDON, FL 33510-4390
(813) 685-5610
(813) 689-5904
Mailing address
227 N KNIGHTS AVE, BRANDON, FL 33510-4390
(813) 685-5610
(813) 689-5904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
12/18/2019
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