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Organization

KELLOGG ENDODONTICS, P.A.

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Organization

KELLOGG ENDODONTICS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID KELLOGG DDS, MS (PRESIDENT/DENTIST)
(813) 741-1900
Entity
Organization

Contact information

Practice address
10081 BEACH VERBENA DR, RIVERVIEW, FL 33578
(813) 741-1900
(813) 741-1901
Mailing address
10081 BEACH VERBENA DR, RIVERVIEW, FL 33578-5491
(813) 741-1900
(813) 741-1901

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN20366
FL

Other

Enumeration date
05/16/2017
Last updated
01/15/2026
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