Southshore Orthodontics PA

NPI #1508255712 in Gibsonton, Florida

Provider Information

NPI Number: 1508255712
Entity Type: Organization
Organization Name: Southshore Orthodontics PA
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jan 12, 2015
Last Updated: Jan 13, 2015

Practice Location

Address: 13135 KINGS LAKE DR # 103
City: Gibsonton
State: Florida
ZIP Code: 33534-3960
Phone: (813) 815-0080

Authorized Official

Name: MATTHEW AHRENS
Title: PRESIDENT
Phone: (352) 843-0783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

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Orthodontic Options, LLC	Dentist - Orthodontics and Dentofacial Orthopedics	Jacksonville	AI Deep Dive

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