Organization · Type 2 NPI

Summerland Dental Professional Association

Customized Equipment (DME) · Summerland Key, FL

NPI number 1629662341 Active

Practice location

24986 Overseas Hwy
Summerland Key, FL 33042-4612

Call (305) 745-1522 Map

Mailing address

PO Box 420212
Summerland Key, FL 33042-0212

Specialties and licenses

Taxonomy	Code	License
Customized Equipment (DME) Primary	332BC3200X	None listed

Customized Equipment (DME): Definition to come...

Another provider at this address

William L. Tycoliz Jr., DDSGeneral Practice Dentistry Summerland Key, FL NPI 1770511750

NPI record

NPI: 1629662341
Entity type: Organization (Type 2)
Issued: Feb 23, 2021
Last updated: Feb 23, 2021
Status: Active
Subpart: Yes of Summerland Dental Professional Association

Other names

William Tycoliz JR DDS PA · other name

Authorized official

William L. Tycoliz, DDS
Owner/practitioner
(305) 745-1522

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About NPI 1629662341

Summerland Dental Professional Association's National Provider Identifier is 1629662341, issued on Feb 23, 2021. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Summerland Key, FL. The record was last updated on Feb 23, 2021.