Individual provider · Type 1 NPI
Douglas C. Wendt Jr., DDS
Periodontics · Brandon, FL
NPI number
1407877400
Active
Practice location
268 S Moon Ave
Brandon, FL 33511-5711
Fax (813) 684-7971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 10196 (FL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Another provider at this address
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About NPI 1407877400
Douglas C. Wendt Jr., DDS's National Provider Identifier is 1407877400, issued on Jul 22, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Brandon, FL. The record was last updated on Jul 8, 2007.