Organization
MARVIN SLOTT DDS PA
Active
Other names
Marvin Slott DDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN SLOTT (PRESIDENT)
(352) 331-2016
Entity
Organization
Contact information
Practice address
6801 NW 9TH BLVD STE 1, GAINESVILLE, FL 32605-4263
(352) 331-2016
(352) 331-1676
Mailing address
6801 NW 9TH BLVD STE 1, GAINESVILLE, FL 32605-4263
(352) 331-2016
(352) 331-1676
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN5801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074111600
MEDICAID
FL
01
—
85255
BCBSFL
FL
Enumeration date
02/25/2008
Last updated
04/24/2012
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