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NPI Code Detail

MEDICARE: ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA

MEDICARE: ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist
21223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447990742
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA
Provider Business Mailing Address
First Line : 3322 W END AVE STE 400
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-6805
Country : US
Telephone Number : 629-999-5014
Fax Number :
Provider Business Practice Location Address
First Line : 6909 N 9TH AVE UNIT 10-11
Second Line :
City : PENSACOLA
State : FL
Zip : 32504-6638
Country : US
Telephone Number : 850-378-1020
Fax Number :
Authorized Official
Title or Position : SMANAGER, LICENSING & CREDENTIALING
Name : SHERRIE EDMONDSON
Credential :
Telephone Number : 629-999-5014
Provider Enumeration Date : 04/01/2022
Last Update Date : 08/08/2023

Similar Medicare Providers

1558849943 — MARK ODELL LMHC
Practice Location Address:
6901A N 9TH AVE # 1363
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32504-6638
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Practice Fax:
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1932906302 — ALETEA MIXON
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6901A N 9TH AVE # 1404
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Practice Fax:
1588519839 — BRANDIE SHANNON HINZMAN
Practice Location Address:
5151 N 9TH AVE
PENSACOLA, FL
32504-8721
Practice Phone: 850-416-7000
Practice Fax:
1326569286 — DANIEL B MARTH DO
Practice Location Address:
5153 N 9TH AVE FL 6
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1700802584 — HASAN H SONMEZTURK MD
Practice Location Address:
5153 N 9TH AVE STE 404
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Practice Fax: 850-416-7442

Directions to “ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.