Advanced Dental Care of Clearwater P.a.

NPI #1588796965 in Largo, Florida

Provider Information

NPI Number: 1588796965
Entity Type: Organization
Organization Name: Advanced Dental Care of Clearwater P.a.
Primary Specialty: Dentist
Enumeration Date: Mar 12, 2007
Last Updated: Jan 7, 2014

Practice Location

Address: 3690 E BAY DR
Address 2: SUITE L
City: Largo
State: Florida
ZIP Code: 33771-5903
Phone: (727) 535-5583

Authorized Official

Name: MIKE COLE
Title: VP INSURANCE PLAN MANAGEMENT
Phone: (727) 726-1611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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