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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265838494 | NPPES |
New York | MEDICAID | 04061836 |
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