Organization
PRECIDENT FLORIDA PLLC
Active
Organization
PRECIDENT FLORIDA PLLC
Active
Parent organization
PRECIDENT FLORIDA PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRECIDENT FLORIDA PLLC
Authorized official
DR. SCOTTY L BOLDING DDS (OWNER)
(479) 957-4611
Entity
Organization
Contact information
Practice address
10601 SEMINOLE BLVD, LARGO, FL 33778-3329
(727) 397-8503
(727) 398-2679
Mailing address
10601 SEMINOLE BLVD, LARGO, FL 33778-3329
(727) 397-8503
(727) 398-2679
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
10/11/2022
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