Organization
FLORIDA DENTAL PROFESSIONALS, P.A.
Active
Parent organization
HEARTLAND DENTAL
Other names
Massa Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
2220 VENETIAN CT STE 1, NAPLES, FL 34109-8726
(239) 597-4902
Mailing address
2220 VENETIAN CT STE 1, NAPLES, FL 34109-8726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
06/27/2024
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