Harry Edward Bopp in Lakeland - Pediatric Dentistry
Harry Edward Bopp - NPI 1780605956
Harry Edward Bopp is a Pediatric Dentistry in Lakeland, Florida. Harry Edward Bopp practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Harry Edward Bopp is 1780605956. The last update date is 2010-10-25.
Harry Edward Bopp's current location address is 1111 N Parkway Frontage Rd, Lakeland, Florida. You can contact this provider via phone number 8636442408 and fax number 8636468493. The mailing address for Harry Edward Bopp is 1111 N Parkway Frontage Rd, Lakeland, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Harry Edward Bopp |
|---|---|
| Address | 1111 N Parkway Frontage Rd, Lakeland, Florida |
| Phone Number | 8636442408 |
| Fax Number | 8636468493 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1780605956 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2010-10-25 |
Provider Mailing Address Detail
| Address | 1111 N Parkway Frontage Rd |
|---|---|
| City | Lakeland |
| State | Florida (FL) |
| Post Code | 338030400 |
| Phone Number | 8636442408 |
| Fax Number | 8636468493 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D5979 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 250953 | VA | BC/BS OF VIRGINIA | |
| 60708 | FL | UNITED CONCORDIA PROVIDER | |
| 600354 | FL | DELTA DENTAL | |
| 70108 | FL | ATLANTIC DENTAL PROV # | |
| 3026867 | TN | BLUE CROSS BLUE SHIELD TN | |
| 85704 | FL | BCBS OF FLORIDA PROVIDER | |
| 0743097-00 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Harry Edward Bopp by the Centers for Medicare & Medicaid Services?
The Harry Edward Bopp has been issued the NPI (National Provider Identifier) 1780605956, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Harry Edward Bopp's facilities are situated?
The facilities of Harry Edward Bopp are physically located at the following address: 1111 N Parkway Frontage Rd, Lakeland, FL, 338030400.
What is Harry Edward Bopp's specialized field of practice, and what is the corresponding taxonomy classification code?
The Harry Edward Bopp's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780605956 to Harry Edward Bopp?
The Centers for Medicare & Medicaid Services originally issued the 1780605956 to Harry Edward Bopp on 2006-07-22.
As of what date were the Harry Edward Bopp's details last updated?
The information pertaining to the Harry Edward Bopp, including its address, specialty, and other details, was most recently updated on 2010-10-25.