| Bopp And Tarver Pllc | |
|
1111 N Parkway Frontage Rd Lakeland FL 33803-0400 | |
| (863) 644-2408 | |
| (863) 646-8493 |
| Full Name | Bopp And Tarver Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1111 N Parkway Frontage Rd, Lakeland, Florida |
| Authorized Official Name and Position | Debbie L Adrian (OFFICE MANAGER) |
| Authorized Official Contact | 8636442408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bopp And Tarver Pllc 1111 N Parkway Frontage Rd Lakeland FL 33803-0400 Ph: (863) 644-2408 | Bopp And Tarver Pllc 1111 N Parkway Frontage Rd Lakeland FL 33803-0400 Ph: (863) 644-2408 |
| NPI Number | 1023318052 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023318052 | NPI | - | NPPES |
| 076621600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN5979 (Florida) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN17195 (Florida) | Secondary |
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› Verified 4 days ago
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