Organization
DEVITO ORTHODONTICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. DEVITO D.D.S. (PRES/VP/SEC/TREAS)
(727) 725-4744
Entity
Organization
Contact information
Practice address
2745 STATE ROAD 580, SUITE 103, CLEARWATER, FL 33761-3359
(727) 725-4744
(727) 725-1561
Mailing address
2745 STATE ROAD 580, SUITE 103, CLEARWATER, FL 33761-3359
(727) 725-4744
(727) 725-1561
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN10472
FL
Other
Enumeration date
07/28/2006
Last updated
08/22/2020
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