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PERIODOC LLC NPI 1659794956


NPI Information

NPI: 1659794956
Provider Name: PERIODOC, LLC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
7320 FOREST OAKS BLVD
SPRING HILL, FL
ZIP 34606
Phone: (352) 596-1771
Get Directions

PERIODOC, LLC is a periodontics dentist in Spring Hill, FL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PERIODOC, LLC NPI is 1659794956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7320 FOREST OAKS BLVD
SPRING HILL, FL
ZIP 34606-401
Phone: (352) 596-1771
Fax: (352) 596-6067

The provider's authorized official is Jeffrey Alan Hameroff .
The authorized official title is Owner/president and has the following contact phone number (352) 596-1771.

The enumeration date for this NPI number is 1/23/2014 and was last updated on 1/23/2014.


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
11223P0300XDentistPeriodontics10916FLORIDAYes

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

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