Organization
FLORIDA DENTAL PROFESSIONALS, P.A.
Active
Parent organization
HEARTLAND DENTAL
Other names
North River Dental
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
3030 US HIGHWAY 301 N, ELLENTON, FL 34222-2010
(941) 722-0502
Mailing address
3030 US HIGHWAY 301 N, ELLENTON, FL 34222-2010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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