Healthcare Provider Details

I. General information

NPI: 1679914980
Provider Name (Legal Business Name): ANGELA MARIE MCNEIGHT DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 07/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DRIVE, D1-13C UF COLLEGE OF DENTISTRY DEPARTMENT OF ORTHODONTICS
GAINESVILLE FL
32601-0444
US

IV. Provider business mailing address

1395 CENTER DRIVE, D1-13C UF COLLEGE OF DENTISTRY DEPARTMENT OF ORTHODONTICS
GAINESVILLE FL
32601-0444
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-5700
  • Fax:
Mailing address:
  • Phone: 352-273-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN 20220
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: