Alan D Shoopak DMD Orthodontic Group VII LLC
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Winter Haven, FL
NPI 1356476592 · NPPES record last updated Oct 16, 2015
Key facts
- NPI
- 1356476592
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- Legal business name
- ALAN D SHOOPAK DMD ORTHODONTIC GROUP VII LLC
- Practice address
- 1074 Spring Lake SQ
Winter Haven, FL 33881 - Phone
- (863) 291-4500
- Fax
- (863) 299-3781
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Alan D. Shoopak
- Title
- Owner
- Phone
- (727) 522-5599
Corporate family (same tax ID) 3
Practitioners 1
-
Keisha N Alexander, D.D.S., M.S.
National Provider Directory
- Tax ID family
- Alan D Shoopak DMD Orthodontic Group VII LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | FL | Yes |
Addresses
Primary practice location
1074 Spring Lake SQ
Winter Haven, FL 33881
Mailing address
6311 4TH St N
St Petersburg, FL 33702-7511
Phone (727) 522-5599
Other names
- Orthodontic Specialists of Florida
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All providers in Winter Haven, FL · Orthodontics and Dentofacial Orthopedics Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.