| Professional Dental Alliance Of Fl - Oon, Pllc | |
|
2350 S Highway 29 Cantonment FL 32533-8508 | |
| (850) 968-2106 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Fl - Oon, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2350 S Highway 29, Cantonment, Florida |
| Authorized Official Name and Position | Erica Quinteros (CREDENTIALING) |
| Authorized Official Contact | 7249011964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Fl - Oon, Pllc 125 Enterprise Dr Ste 200 Pittsburgh PA 15275-1223 Ph: (249) 011-9647 | Professional Dental Alliance Of Fl - Oon, Pllc 2350 S Highway 29 Cantonment FL 32533-8508 Ph: (850) 968-2106 |
| NPI Number | 1891579959 |
|---|---|
| Provider Enumeration Date | 08/21/2023 |
| Last Update Date | 08/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891579959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
Aggie Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 S Highway 29, Cantonment, FL 32533 Phone: 850-968-2106 Fax: 850-968-6342 |