Organization
MANATEE ORAL AND FACIAL SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRASHANT PANDYA DMD (OWNER)
(502) 644-7833
Entity
Organization
Contact information
Practice address
5460 LENA RD, UNIT 102, BRADENTON, FL 34211-9500
(502) 644-7833
(941) 492-7184
Mailing address
5460 LENA RD, UNIT 102, BRADENTON, FL 34211-9500
(502) 644-7833
(941) 492-7184
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17268
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN17268
MEDICAL LICENSE
FL
Enumeration date
03/07/2009
Last updated
03/09/2009
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