| Florida Dental Professionals, P.a. | |
|
3030 Us Highway 301 N Ellenton FL 34222-2010 | |
| (941) 722-0502 | |
| Not Available |
| Full Name | Florida Dental Professionals, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3030 Us Highway 301 N, Ellenton, Florida |
| Authorized Official Name and Position | Hillary Thull (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Dental Professionals, P.a. 3030 Us Highway 301 N Ellenton FL 34222-2010 Ph: () - | Florida Dental Professionals, P.a. 3030 Us Highway 301 N Ellenton FL 34222-2010 Ph: (941) 722-0502 |
| NPI Number | 1942962535 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 10/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942962535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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