Organization
BOPP AND TARVER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE L ADRIAN (OFFICE MANAGER)
(863) 644-2408
Entity
Organization
Contact information
Practice address
1111 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803-0400
(863) 644-2408
(863) 646-8493
Mailing address
1111 N PARKWAY FRONTAGE RD, LAKELAND, FL 33803-0400
(863) 644-2408
(863) 646-8493
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
DN17195
FL
1223P0221X
Pediatric Dentistry
Primary
DN5979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076621600
—
FL
Enumeration date
10/25/2010
Last updated
10/25/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us