CITRUS PARK ENDODONTICS PA NPI 1134230196

NPI Information

NPI: 1134230196
Provider Name: CITRUS PARK ENDODONTICS, PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6526 GUNN HWY
TAMPA, FL
ZIP 33625
Phone: (813) 374-2290
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CITRUS PARK ENDODONTICS, PA is a dental clinic center in Tampa, FL. CITRUS PARK ENDODONTICS, PA NPI is 1134230196. The provider is registered as an organization entity type.

The provider's business location address is:

6526 GUNN HWY
TAMPA, FL
ZIP 33625-022
Phone: (813) 374-2290
Fax: (813) 374-9048

The provider's authorized official is Dennis Demirjian .
The authorized official title is Doctor and has the following contact phone number (813) 374-2290.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 4/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DN15009	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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