Florida Dental Professionals, P.a.

NPI #1891293387 in Naples, Florida

Provider Information

NPI Number: 1891293387
Entity Type: Organization
Organization Name: Florida Dental Professionals, P.a.
Subpart: Yes (part of a larger organization)
Parent Organization: FLORIDA DENTAL PROFESSIONALS, P.A.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 30, 2018
Last Updated: Jan 30, 2018

Practice Location

Address: 6360 PINE RIDGE RD STE 202
City: Naples
State: Florida
ZIP Code: 34119-3907
Phone: (239) 354-5353

Authorized Official

Name: CASSANDRA PETERSEN
Title: CREDENTIALING TEAM LEAD
Phone: (217) 540-8972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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