Organization
ALAN D SHOOPAK DMD ORTHODONTIC GROUP VIII LLC
Active
Organization
ALAN D SHOOPAK DMD ORTHODONTIC GROUP VIII LLC
Active
Other names
Orthodontic Specialists of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN D SHOOPAK (OWNER)
(727) 522-5599
Entity
Organization
Contact information
Practice address
34906 US HIGHWAY 19 N, PALM HARBOR, FL 34684
(727) 726-8494
(727) 791-6983
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075691100
—
FL
Enumeration date
02/21/2007
Last updated
10/16/2015
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