Provider Demographics
NPI:1023015070
Name:PROSS KANTER & TINDELL
Entity type:Organization
Organization Name:PROSS KANTER & TINDELL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:KANTER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-961-1727
Mailing Address - Street 1:801 W FLETCHER AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-3424
Mailing Address - Country:US
Mailing Address - Phone:813-961-1727
Mailing Address - Fax:813-968-7220
Practice Address - Street 1:801 W FLETCHER AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-3424
Practice Address - Country:US
Practice Address - Phone:813-961-1727
Practice Address - Fax:813-968-7220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty