NPI Registry.org

Chrysalis Cosmetic & Restorative Dentistry, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHRYSALIS COSMETIC & RESTORATIVE DENTISTRY, LLC11349690172024-06-09

The organization Chrysalis Cosmetic & Restorative Dentistry, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1134969017. Registration indicates Chrysalis Cosmetic & Restorative Dentistry, Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Dental, ) (Clinic/Center Dental, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationCHRYSALIS COSMETIC & RESTORATIVE DENTISTRY, LLC
Practice Office Address2252 GUNN HIGHWAY
ODESSA, FL US
Practice Office Telephone8133430713
Mailing Address2252 GUNN HIGHWAY
ODESSA, FL 33556 US
Business Telephone8133430713
Business Fax8133430723
Authorized OfficialCAROLYN NORTON, OWNER DENTIST
8133430713
HPT Codes
CodePractice
License No
State
261QD0000X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Dental

Clinic/Center Dental
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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