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Advantage Dental Oral Health Center Of Florida PA

Dentist, General Practice in Crestview, FL. Organization (NPI-2).

NPI number1285375873
StatusActive
Last updated in NPPESAug 3, 2022

Details

NPI
1285375873
Entity type
Organization (NPI-2)
Legal business name
Advantage Dental Oral Health Center Of Florida PA
Organization subpart
No
Enumeration date
Apr 6, 2022
Certification date
Aug 3, 2022
Last updated
Aug 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes
122300000X Dentist––

Practice location

775 N Ferdon Blvd Ste A
Crestview, FL 32536-2167

Phone 850-220-1120

Mailing address

3322 W End Ave Ste 400
Nashville, TN 37203-6805

Phone 629-999-5014

Authorized official

Sherrie Edmondson
Manager, Licensing & Certification
6299995014

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Other General Practice Dentistry providers in Crestview, FL

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