Organization
DENTAL IMPLANT SPECIALISTS OF FLORIDA, PA
Active
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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