Organization · NPI-2

Advanced Dental Care Of Tampa PA

Dentist · Tampa, FL

NPI number1922130319
StatusActive
Last updated in NPPESJul 30, 2010

Details

NPI
1922130319
Entity type
Organization (NPI-2)
Legal business name
Advanced Dental Care Of Tampa PA
Organization subpart
No
Enumeration date
Mar 12, 2007
Last updated
Jul 30, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist––Yes

Practice location

3716 W Neptune St
Tampa, FL 33629-5119

Phone 813-253-3343

Mailing address

3716 W Neptune St
Tampa, FL 33629-5119

Authorized official

Mike Cole
Insurance Director
7277261611

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