NPI 1013053487

Serge a Prescott, DDS

Practitioner General Practice Dentistry Port Charlotte, FL

Practice location

Address: 4161 Tamiami Trl Suite 3171, Port Charlotte, FL 33952-9204
Phone: (941) 255-8500
Fax: (941) 255-8503

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN19399 (FL)

Other Dentist providers in Florida →

General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence 35537 (CA)

Registry record

NPI: 1013053487
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2007
Record last updated: 6 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.