Organization
PRECIDENT FLORIDA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L BOLDING DDS MS (OWNER)
(479) 957-4611
Entity
Organization
Contact information
Practice address
390 4TH ST N, SAINT PETERSBURG, FL 33701-2802
(727) 397-8503
(727) 398-2679
Mailing address
PO BOX 2523, DEPT 4316, CONWAY, AR 72033-2523
(727) 397-8503
(727) 397-2679
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
01/08/2021
Last updated
06/07/2022
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