| Organization Name: | BOPP AND TARVER PLLC |
| NPI Number: | 1023318052 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE L ADRIAN (OFFICE MANAGER) |
| Mailing Address: | 1111 N Parkway Frontage Rd Lakeland |
| State: | FL US |
| Postal Code: | 338030400 |
| Phone Number: | 8636442408 |
| Fax Number: | 8636468493 |
| NPI Enumeration Date: | 10/25/2010 |
| NPI Last Update Date: | 10/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | DN17195 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |