Organization
ADC VENTURES PLLC
Active
Other names
ADVANCED DENTAL CONCEPTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E FAULKNER DMD (OWNER DENTIST)
(850) 994-8185
Entity
Organization
Contact information
Practice address
4041 HWY 90, PACE, FL 32571-1917
(850) 994-8185
Mailing address
4041 HWY 90, PACE, FL 32571-1917
(850) 994-8185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
FL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
484973
UNITED CONCORDIA I.D.
FL
01
—
86052
BCBS I.D.
FL
Enumeration date
11/07/2006
Last updated
03/16/2026
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