Affiliated Dental Specialist Pl
NPI #1063965119 in St Petersburg, Florida
Provider Information
- NPI Number
- 1063965119
- Entity Type
- Organization
- Organization Name
- Affiliated Dental Specialist Pl
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 25, 2016
- Last Updated
- Nov 16, 2017
Practice Location
- Address
- 6311 4TH ST N
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33702-7511
- Phone
- (727) 522-5599
Authorized Official
- Name
- ALAN SHOOPAK, DMD
- Title
- ORTHODONTIST
- Phone
- (727) 474-0317
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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