Provider Demographics
NPI:1619732534
Name:WORKFORCE DENTAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:WORKFORCE DENTAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, MANAGING PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LEANE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ST. PETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-649-1318
Mailing Address - Street 1:1204 S BROAD ST # 314
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34601-3132
Mailing Address - Country:US
Mailing Address - Phone:877-649-1318
Mailing Address - Fax:877-649-1318
Practice Address - Street 1:100 N TAMPA ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602
Practice Address - Country:US
Practice Address - Phone:877-783-3682
Practice Address - Fax:877-780-4558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No122300000XDental ProvidersDentistGroup - Single Specialty