is a Dental Clinic in Tampa, Florida. It is located at 17401 Commerce Park Blvd Ste 101, Tampa, FL and its contact number is 813-915-6097. The authorized person for is Alan Shoopak
who is Doctor of the clinic and their contact number is 727-522-5599. The primary license number for is DN9319 (General Practice) in Florida. Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
17401 Commerce Park Blvd Ste 101, Tampa, Florida, 33647-3507
Phone:
813-915-6097
Fax:
813-615-0750
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Alan Shoopak
Position:
Doctor
Contact Number:
727-522-5599
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1215457767
NPI Enumeration Date:
26 Jun, 2017
NPI Last Update On:
10 Oct, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
DN9319
Florida
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DN9319
Other
Florida
Dental License
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6311 4th St N, St Petersburg, Florida
Zip:
33702-7511
Phone Number:
727-522-5599
Fax Number:
727-526-1702
Patients can reach at 17401 Commerce Park Blvd Ste 101, Tampa, Florida or can call to book an appointment on 813-915-6097. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.