Gatordds PA

Organization Active NPI General Practice Dentistry · Longboat Key, FL

NPI 1306201074 · NPPES record last updated Jan 19, 2023

Key facts

NPI
1306201074
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN18506 (FL)
Legal business name
GATORDDS PA
Practice address
595 Bay Isles Rd
Suite 110
Longboat Key, FL 34228-3149
Phone
(941) 383-6400
Fax
(941) 383-6435
NPI assigned
Dec 23, 2015
Organization subpart
No

Authorized official

Name
Dr. Michael J O'Neil, DDS
Title
Owner
Phone
(941) 383-6400

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

595 Bay Isles Rd
Ste 110
Longboat Key, FL 34228
Phone (941) 383-6400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X DN18506 FL Yes

Addresses

Primary practice location

595 Bay Isles Rd
Suite 110
Longboat Key, FL 34228-3149

Mailing address

595 Bay Isles Rd
Suite 110
Longboat Key, FL 34228-3149
Phone (941) 383-6400

Other names

  • LONGBOAT KEY DENTAL Doing business as

Other providers in Longboat Key, FL

All providers in Longboat Key, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.