Provider Demographics
NPI:1164281960
Name:FLOSS STUDIO PLLC
Entity Type:Organization
Organization Name:FLOSS STUDIO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMERI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-478-0686
Mailing Address - Street 1:972 TEMPLE ST
Mailing Address - Street 2:
Mailing Address - City:WHITMAN
Mailing Address - State:MA
Mailing Address - Zip Code:02382-1066
Mailing Address - Country:US
Mailing Address - Phone:781-857-1230
Mailing Address - Fax:
Practice Address - Street 1:972 TEMPLE ST
Practice Address - Street 2:
Practice Address - City:WHITMAN
Practice Address - State:MA
Practice Address - Zip Code:02382-1066
Practice Address - Country:US
Practice Address - Phone:781-857-1230
Practice Address - Fax:781-857-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty