| Florida Dental, Pa | |
|
4873 Highway 90 Ste A Milton FL 32571-1401 | |
| (850) 602-9033 | |
| (850) 995-4429 |
| Full Name | Florida Dental, Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4873 Highway 90 Ste A, Milton, Florida |
| Authorized Official Name and Position | Scott Codwise Dickerson (OWNER/MANAGING CLINICAL DIRECTOR) |
| Authorized Official Contact | 8662738204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Dental, Pa Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | Florida Dental, Pa 4873 Highway 90 Ste A Milton FL 32571-1401 Ph: (850) 602-9033 |
| NPI Number | 1427493378 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 05/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427493378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16315 (Florida) | Primary |
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