Organization
DENTAL IMPLANT SPECIALISTS OF FLORIDA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KIRKPATRICK (OWNER DENTIST)
(904) 536-6550
Entity
Organization
Contact information
Practice address
2150 HARDEN BLVD, LAKELAND, FL 33803-5917
(863) 665-8878
Mailing address
3500 MAPLE AVE STE 1600, DALLAS, TX 75219-3936
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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