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DENTISTRY OF TOWN PARK LLC NPI 1366148942


NPI Information

NPI: 1366148942
Provider Name: DENTISTRY OF TOWN PARK LLC

Doing Business As: DENTISTRY OF EAST COLONIAL LLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4307 E COLONIAL DR
ORLANDO, FL
ZIP 32803
Phone: (407) 362-7705
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DENTISTRY OF TOWN PARK LLC is a general practice dentist in Orlando, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTISTRY OF TOWN PARK LLC NPI is 1366148942. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dentistry Of East Colonial Llc.

The provider's business location address is:

4307 E COLONIAL DR
ORLANDO, FL
ZIP 32803-217
Phone: (407) 362-7705

The provider's authorized official is Clement James Contestable .
The authorized official title is Owner and has the following contact phone number (321) 356-5497.

The enumeration date for this NPI number is 2/6/2023 and was last updated on 4/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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