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Organization
JOSEPH BRENT NOVAK, DMD,PA
Active
Organization
JOSEPH BRENT NOVAK, DMD,PA
Active
Other names
Bushnell Family & Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BRENT NOVAK DMD (PRESIDENT)
(352) 569-0100
Entity
Organization
Contact information
Practice address
65 CR 542W, BUSHNELL, FL 33513-4515
(352) 569-0100
(352) 569-0213
Mailing address
65 CR 542W, BUSHNELL, FL 33513-4515
(352) 569-0100
(352) 569-0213
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN17794
FL
1223G0001X
General Practice Dentistry
DN14246
FL
1223G0001X
General Practice Dentistry
DN15206
FL
1223G0001X
General Practice Dentistry
Primary
DN15463
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN16913
FL
Other
Enumeration date
08/19/2008
Last updated
03/26/2009
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