Organization
ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA
Active
Other names
Advantage Dental PLus
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE EDMONDSON (SMANAGER, LICENSING & CREDENTIALING)
(629) 999-5014
Entity
Organization
Contact information
Practice address
99 EGLIN PKWY NE STE 28, FT WALTON BCH, FL 32548-4284
(850) 749-6069
Mailing address
3322 W END AVE STE 400, NASHVILLE, TN 37203-6805
(629) 999-5014
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
08/08/2023
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