Organization
MARVIN SLOTT DDS PA
Active
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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