Provider Demographics
NPI:1437352366
Name:SOLAR, NEAL M (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:M
Last Name:SOLAR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 CLEARWATER LARGO RD S
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3233
Mailing Address - Country:US
Mailing Address - Phone:727-584-7163
Mailing Address - Fax:727-584-9035
Practice Address - Street 1:168 CLEARWATER LARGO RD S
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3233
Practice Address - Country:US
Practice Address - Phone:727-584-7163
Practice Address - Fax:727-584-9035
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN131741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice