Organization
ALAN D. SHOOPAK D.M.D. ,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN DAVID SHOOPAK (OWNER)
(727) 522-5599
Entity
Organization
Contact information
Practice address
1900 TAMIAMI TRL, STE. 110, PORT CHARLOTTE, FL 33948-2180
(941) 624-5882
(941) 624-5818
Mailing address
6311 4TH ST N, ST PETERSBURG, FL 33702-7511
(727) 522-5599
(727) 526-1702
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
FL
Other
Enumeration date
02/21/2007
Last updated
10/06/2017
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