Provider Demographics
NPI:1558352575
Name:BRESSLER, ADAM J (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:J
Last Name:BRESSLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8381 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-4345
Mailing Address - Country:US
Mailing Address - Phone:727-397-8800
Mailing Address - Fax:727-254-4406
Practice Address - Street 1:8381 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-4345
Practice Address - Country:US
Practice Address - Phone:727-397-8800
Practice Address - Fax:727-254-4406
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0515071223G0001X
FLDN17856122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02585697Medicaid