Odessa Modern Dentistry, PA

NPI #1770346496 in Odessa, Florida

Provider Information

NPI Number: 1770346496
Entity Type: Organization
Organization Name: Odessa Modern Dentistry, PA
Primary Specialty: Dentist
Enumeration Date: Feb 5, 2024
Last Updated: Feb 5, 2024

Practice Location

Address: 13484 PINE GAP SPUR
City: Odessa
State: Florida
ZIP Code: 33556-2542
Phone: (813) 279-6537

Authorized Official

Name: NICHOLAS BUTTON, DDS
Title: OWNER
Phone: (813) 279-6537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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