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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