Provider Demographics
NPI:1396814299
Name:UNLIMITED MANAGEMENT GROUP LLC
Entity Type:Organization
Organization Name:UNLIMITED MANAGEMENT GROUP LLC
Other - Org Name:MIDTOWN DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MC NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-316-5044
Mailing Address - Street 1:3011 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8632
Mailing Address - Country:US
Mailing Address - Phone:727-322-1828
Mailing Address - Fax:727-328-1971
Practice Address - Street 1:3011 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8632
Practice Address - Country:US
Practice Address - Phone:727-322-1828
Practice Address - Fax:727-328-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL69271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty