Southshore Orthodontics PA
Southshore Orthodontics PA is an Orthodontics and Dentofacial Orthopedics Dentistry in Gibsonton, Florida. Licensed in Florida. Registered with an NPI since 2015.
- Licensed in
- FL
- In the registry since
- 2015
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13135 Kings Lake Dr # 103Gibsonton, FL 33534-3960
Phone: (813) 815-0080
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthodontics and Dentofacial Orthopedics Dentistry (primary) | Taxonomy 1223X0400X · Licence 18985 (FL) |
|---|
Record details
| NPI number | 1508255712 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Matthew Ahrens — President · (352) 843-0783 |
| NPI enumerated | January 12, 2015 |
| Last updated in NPPES | January 13, 2015 |
| Mailing address | 13135 Kings Lake Dr # 103, Gibsonton, FL 33534-3960 |