| Alan D. Shoopak D.m.d. ,p.a. | |
|
1900 Tamiami Trl Ste. 110 Port Charlotte FL 33948-2180 | |
| (941) 624-5882 | |
| (941) 624-5818 |
| Full Name | Alan D. Shoopak D.m.d. ,p.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1900 Tamiami Trl, Port Charlotte, Florida |
| Authorized Official Name and Position | Alan David Shoopak (OWNER) |
| Authorized Official Contact | 7275225599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan D. Shoopak D.m.d. ,p.a. 6311 4th St N St Petersburg FL 33702-7511 Ph: (727) 522-5599 | Alan D. Shoopak D.m.d. ,p.a. 1900 Tamiami Trl Ste. 110 Port Charlotte FL 33948-2180 Ph: (941) 624-5882 |
| NPI Number | 1790810935 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790810935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Florida) | Primary |
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