<Unavail>

LBN: Affiliated Dental Specialist Pl
<Unavail> is an health care organization with primary practice located at 17401 Commerce Park Blvd Ste 101 , Tampa FL 33647-3507. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Affiliated Dental Specialist Pl can be contacted via phone (813) 915-6097, or through Shoopak, Alan via phone (727) 522-5599.

Contact Information

Primary practice address
17401 Commerce Park Blvd Ste 101 Tampa FL 33647-3507
Phone: (813) 915-6097
Fax: (813) 615-0750
Website:
Map and Directions
Authorized official contact:
Name: Shoopak, Alan Doctor of Dental Medicine (DMD)
Phone: (727) 522-5599

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN9319 Florida

Profile Details

NPI number 1215457767
LBN Legal business name Affiliated Dental Specialist Pl
DBA Doing business as <Unavail>
Authorized official Shoopak, Alan Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2017
Last updated Oct 10th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215457767 NPPES
Florida Other DN9319 DENTAL LICENSE

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