Individual
GERARD F. SCANNELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 66TH STREET NORTH, PINELLAS PARK, FL 33781-4067
(727) 546-4665
(727) 548-7684
Mailing address
2189 CLEVELAND STREET, SUITE 252, CLEARWATER, FL 33765-3243
(727) 461-9149
(727) 446-8382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN25873
FL
Other
Enumeration date
06/08/2021
Last updated
10/26/2021
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