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Organization

MICHAEL A. PIKOS, DDS PA

Active
Parent organization
MICHAEL A. PIKOS, DDS, PA
Other names
Coastal Jaw Surgery - Tampa
Organization subpart
Yes

Provider details

NPI number
Legal business name
MICHAEL A. PIKOS, DDS, PA
Authorized official
KATHERINE DIAZ (PRACTICE ADMINISTRATOR)
(727) 709-1275
Entity
Organization

Contact information

Practice address
11940 SHELDON ROAD, TAMPA, FL 33626
(727) 877-0011
Mailing address
2711 TAMPA ROAD, PALM HARBOR, FL 34684
(727) 786-1631

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary

Other

Enumeration date
05/30/2019
Last updated
05/30/2019
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