Organization
FACULTY ASSOCIATES, INC
Active
Other names
NCEF Pediatric Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M SWEITZER (SECRETARY/TREASURER)
(352) 273-5787
Entity
Organization
Contact information
Practice address
7505 GRAND LELY DR, NAPLES, FL 34113-1753
(352) 273-5801
(352) 392-3070
Mailing address
PO BOX 100425, GAINESVILLE, FL 32610-0425
(352) 273-5801
(352) 392-3070
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739693
—
FL
Enumeration date
10/18/2018
Last updated
10/18/2018
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