# DENTAL IMPLANT SPECIALISTS OF FLORIDA, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376238469
- **Authorized official:** DAVID KIRKPATRICK (OWNER DENTIST)
- **Authorized official phone:** (904) 536-6550

## Contact information

- **Practice address:** 2150 HARDEN BLVD, LAKELAND, FL 33803-5917
- **Practice address phone:** (863) 665-8878
- **Mailing address:** 3500 MAPLE AVE STE 1600, DALLAS, TX 75219-3936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0700X | Prosthodontics | — | NULL | — |
| 1223P0700X | Prosthodontics | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/06/2023
- **Last updated:** 04/06/2023