Herston Dental Services, Pl
NPI #1285843110 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1285843110
- Entity Type
- Organization
- Organization Name
- Herston Dental Services, Pl
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4161 TAMIAMI TRL
- Address 2
- SUITE 803
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-9204
- Phone
- (941) 255-3700
Authorized Official
- Name
- DR. MELODY LYNN HERSTON, D.M.D.
- Title
- PRESIDENT
- Phone
- (941) 255-3700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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| Shamus Loftus, DDS | |
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| Sirirat Seebunpang, DMD | |
| DR. Alberto Lopez De Castro Bolufer | |
| Jason Spears, D.D.S. |
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