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Carmen Dilia Childers

Dentist

Dental Providers

2835 NW Federal Hwy, Stuart, FL 34994-9252

PECOS Enrollment

This provider is enrolled in PECOS as CARMEN CHILDERS.

Based on the most recent information from CMS, provider Carmen Dilia Childers is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1407247968
Provider Type
Individual
Full Name
Childers, Carmen Dilia
Title
Dr.
Credential
DDS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/5/2015
Last Updated
3/18/2015

Contact Information

Practice Location

2835 NW Federal Hwy, Stuart, FL 34994-9252

(877) 343-3253

Unlisted Fax

Mailing Location

6928 Villas Dr W, Boca Raton, FL 33433-5030

(561) 460-4565

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 122300000X Primary	Description Dentist Dental Providers	License DN 20572 Florida

Carmen Dilia Childers

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

C. Nicholas Deture Pa

Baselious, Meriam Micheal

Flanary, Robert C

Cogan, Alisa Morgan

Stuart Family Dentistry, Inc.

Jackson, David Creston

Guerrino, Danielle Sophia

Riggs, Crystel Ananos

Jaffe, Eric Neil

Shields, Stephen Edward