Provider Demographics
NPI:1326466319
Name:F.H. COLLINS III DDS PA
Entity Type:Organization
Organization Name:F.H. COLLINS III DDS PA
Other - Org Name:COLLINS DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:PARSCH
Authorized Official - Last Name:SWETLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-699-9831
Mailing Address - Street 1:5744 CANTON CV
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-5034
Mailing Address - Country:US
Mailing Address - Phone:407-669-9831
Mailing Address - Fax:407-699-9896
Practice Address - Street 1:5744 CANTON CV
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-5034
Practice Address - Country:US
Practice Address - Phone:407-669-9831
Practice Address - Fax:407-699-9896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15637122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty