Organization
ADVANCED DENTAL CARE SHADY ROAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (INSURANCE DIRECTOR)
(727) 726-1611
Entity
Organization
Contact information
Practice address
3040 SW 27TH AVE, STE 101, OCALA, FL 34471-8981
(941) 756-3410
Mailing address
3040 SW 27TH AVE, STE 101, OCALA, FL 34471-8981
(941) 756-3410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
09/17/2010
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