| Advantage Dental Oral Health Center Of Florida Pa | |
|
775 N Ferdon Blvd Ste A Crestview FL 32536-2167 | |
| (850) 220-1120 | |
| Not Available |
| Full Name | Advantage Dental Oral Health Center Of Florida Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 775 N Ferdon Blvd Ste A, Crestview, Florida |
| Authorized Official Name and Position | Sherrie Edmondson (MANAGER, LICENSING & CERTIFICATION) |
| Authorized Official Contact | 6299995014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Dental Oral Health Center Of Florida Pa 3322 W End Ave Ste 400 Nashville TN 37203-6805 Ph: (629) 999-5014 | Advantage Dental Oral Health Center Of Florida Pa 775 N Ferdon Blvd Ste A Crestview FL 32536-2167 Ph: (850) 220-1120 |
| NPI Number | 1285375873 |
|---|---|
| Provider Enumeration Date | 04/06/2022 |
| Last Update Date | 08/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285375873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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