Escobedo, Carolina

Escobedo, Carolina is an individual health care provider with primary practice located at 400 Carillon Pkwy Ste 120 , St Petersburg FL 33716-1290. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Escobedo, Carolina can be contacted via phone (727) 299-0728.

Contact Information

Primary practice address
400 Carillon Pkwy Ste 120 St Petersburg FL 33716-1290
Phone: (727) 299-0728
Fax: (727) 209-1365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN19517 Florida
Dental Providers / Pediatric Dentistry 1223P0221X 057733-1 New York
Dental Providers / Pediatric Dentistry 1223P0221X DN195517 Florida

Profile Details

NPI number 1265838494
LBN Legal business name Escobedo, Carolina
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2014
Last updated Apr 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265838494 NPPES
New York MEDICAID 04061836

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