# VIP DENTAL CENTER INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** VIP Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972973808
- **Authorized official:** MS. LESLIE ANNE ENDRIS (OPERATIONS MANAGER)
- **Authorized official phone:** (727) 202-1053

## Contact information

- **Practice address:** 32919 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3121
- **Practice address phone:** (727) 202-1054
- **Practice address fax:** (844) 727-9580
- **Mailing address:** 32919 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3121
- **Mailing address phone:** (727) 202-1054
- **Mailing address fax:** (844) 727-9580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 13292 | FL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 13292 | FL | Yes |

## Other

- **Enumeration date:** 10/05/2015
- **Last updated:** 10/05/2015
