# DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlantic Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336574292
- **Authorized official:** ROSA LESSO (NATIONAL DIRECTOR OF RCM)
- **Authorized official phone:** (714) 571-3471

## Contact information

- **Practice address:** 2894 S 8TH ST, FERNANDINA BEACH, FL 32034-4462
- **Practice address phone:** (904) 261-0022
- **Practice address fax:** (904) 261-6289
- **Mailing address:** 136 4TH ST N STE 201, ST PETERSBURG, FL 33701-3889
- **Mailing address phone:** (727) 800-8026
- **Mailing address fax:** (727) 304-3164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 09/11/2013
- **Last updated:** 02/02/2024