Organization
AFILLIATED DENTAL SPECIALIST PL
Active
Other names
Dental Specialists of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN SHOOPAK DMD (DOCTOR)
(727) 522-5599
Entity
Organization
Contact information
Practice address
34906 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1920
(727) 608-4264
(727) 791-6983
Mailing address
6311 4TH ST N, SAINT PETERSBURG, FL 33702-7511
(727) 522-5599
(727) 526-1702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN9319
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN9319
DENTAL LICENSE
FL
Enumeration date
06/26/2017
Last updated
06/26/2017
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