Provider Demographics
NPI:1215401443
Name:F.A.SKORDAS DDS MS PL
Entity Type:Organization
Organization Name:F.A.SKORDAS DDS MS PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FOTIOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:SKORDAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:941-922-8811
Mailing Address - Street 1:7129 CURTISS AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8080
Mailing Address - Country:US
Mailing Address - Phone:941-922-8811
Mailing Address - Fax:941-922-8745
Practice Address - Street 1:7129 CURTISS AVE STE 2
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8080
Practice Address - Country:US
Practice Address - Phone:941-922-8811
Practice Address - Fax:941-922-8745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty