| Aspen Dental | |
|
5231 University Pkwy Unit 120 University Park FL 34201-3009 | |
| (941) 363-0458 | |
| (941) 351-5827 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist |
| Location | 5231 University Pkwy Unit 120, University Park, Florida |
| Authorized Official Name and Position | Dustin R. Dixon (MANAGING DIRECTOR) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 5231 University Pkwy Unit 120 University Park FL 34201-3009 Ph: (941) 363-0458 |
| NPI Number | 1942587399 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942587399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19229 (Florida) | Primary |
Cooper Creek Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8460 Cooper Creek Blvd, Suite 103, University Park, FL 34201 Phone: 941-366-1010 Fax: 941-355-5558 |