| Professional Dental Alliance Of St. Petersburg, Pllc | |
|
7300 4th St N St Petersburg FL 33702-5924 | |
| (727) 521-1818 | |
| Not Available |
| Full Name | Professional Dental Alliance Of St. Petersburg, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 7300 4th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7246982029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of St. Petersburg, Pllc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 | Professional Dental Alliance Of St. Petersburg, Pllc 7300 4th St N St Petersburg FL 33702-5924 Ph: (727) 521-1818 |
| NPI Number | 1720551187 |
|---|---|
| Provider Enumeration Date | 01/09/2019 |
| Last Update Date | 01/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720551187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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