Organization
ALAN D SHOOPAK DMD ORTHODONTIC GROUP VI LLC
Active
Organization
ALAN D SHOOPAK DMD ORTHODONTIC GROUP VI LLC
Active
Other names
Orthodontic Specialists of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN DAVID SHOOPAK DMD (OWNER)
(727) 522-5599
Entity
Organization
Contact information
Practice address
1085 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4210
(407) 483-5797
(407) 483-5799
Mailing address
6311 4TH ST N, ST PETERSBURG, FL 33702-7511
(727) 522-5599
(727) 526-1702
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN9319
FL
Other
Enumeration date
04/07/2011
Last updated
10/16/2015
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