Organization
FLORIDA DENTAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH ALAN HUTCHINSON D.M.D. (OWNER)
(727) 461-9149
Entity
Organization
Contact information
Practice address
2189 CLEVELAND ST, SUITE 252, CLEARWATER, FL 33765
(727) 461-9149
(727) 446-8382
Mailing address
2189 CLEVELAND ST, SUITE 252, CLEARWATER, FL 33765
(727) 461-9149
(727) 446-8382
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN13680
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/31/2006
Last updated
03/22/2019
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