Bopp, Harry Edward

Bopp, Harry Edward is an individual health care provider with primary practice located at 1111 N Parkway Frontage Rd , Lakeland FL 33803-0400. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bopp, Harry Edward can be contacted via phone (863) 644-2408.

Contact Information

Primary practice address
1111 N Parkway Frontage Rd Lakeland FL 33803-0400
Phone: (863) 644-2408
Fax: (863) 646-8493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X D5979 Florida

Profile Details

NPI number 1780605956
LBN Legal business name Bopp, Harry Edward
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Oct 25th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780605956 NPPES
Virginia Other 250953 BC/BS OF VIRGINIA
Virginia Other 60708 BC/BS OF VIRGINIA
Virginia Other 600354 BC/BS OF VIRGINIA
Virginia Other 70108 BC/BS OF VIRGINIA
Virginia Other 3026867 BC/BS OF VIRGINIA
Virginia Other 85704 BC/BS OF VIRGINIA
Virginia MEDICAID 0743097-00 BC/BS OF VIRGINIA

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