Organization
MICHAEL A PIKOS, D.D.S, PA
Active
Other names
Same Day Teeth
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DIAZ (PRACTICE ADMINISTRATOR)
(727) 709-1275
Entity
Organization
Contact information
Practice address
8740 MITCHELL BLVD, TRINITY, FL 34655-4400
(727) 375-0469
Mailing address
2711 TAMPA RD, PALM HARBOR, FL 34684-3312
(727) 786-1631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN07451
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN17813
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN9294
FL
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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