| Dental Specialists Of Florida | |
|
17401 Commerce Park Blvd Ste 101 Tampa FL 33647-3507 | |
| (813) 915-6097 | |
| (813) 615-0750 |
| Full Name | Dental Specialists Of Florida |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17401 Commerce Park Blvd Ste 101, Tampa, Florida |
| Authorized Official Name and Position | Alan Shoopak (DOCTOR) |
| Authorized Official Contact | 7275225599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Specialists Of Florida 6311 4th St N St Petersburg FL 33702-7511 Ph: (727) 522-5599 | Dental Specialists Of Florida 17401 Commerce Park Blvd Ste 101 Tampa FL 33647-3507 Ph: (813) 915-6097 |
| NPI Number | 1215457767 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215457767 | NPI | - | NPPES |
| DN9319 | Other | FL | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN9319 (Florida) | Primary |
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