Florida Dental Professionals, P.a.
Organization Active NPI General Practice Dentistry · Ellenton, FL
NPI 1942962535 · NPPES record last updated Oct 11, 2021
Key facts
- NPI
- 1942962535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- FLORIDA DENTAL PROFESSIONALS, P.A.
- Practice address
- 3030 US Highway 301 N
Ellenton, FL 34222-2010 - Phone
- (941) 722-0502
- NPI assigned
- Oct 11, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- HEARTLAND DENTAL
Authorized official
- Name
- Hillary Thull
- Title
- Credentialing Coordinator
- Phone
- (217) 540-8946
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Florida Dental Professionals PA
- Part of
- Florida Dental Professionals PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
3030 US Highway 301 N
Ellenton, FL 34222-2010
Mailing address
3030 US Highway 301 N
Ellenton, FL 34222-2010
Other names
- North River Dental
Other providers in Ellenton, FL
- Rebecca L Emmett
- Excel Pain and Spine LLC
- Faipler Chiropractic LLC
- Torriana Kaylee Fidler
- Jacqueline Figueroa
- Florida Medical Specialists LLC
- Freedom Home Health Services Inc.
- Froug Ellenton Dental Center
- Alexis Kristine Garcia
- Raysheena Gaskins
All providers in Ellenton, FL · General Practice 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 11, 2021. 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.