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KISSIMMEE FAMILY DENTISTRY PLLC NPI 1407257561


NPI Information

NPI: 1407257561
Provider Name: KISSIMMEE FAMILY DENTISTRY, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1111 PERSON ST
KISSIMMEE, FL
ZIP 34741
Phone: (407) 870-7404
Get Directions

KISSIMMEE FAMILY DENTISTRY, PLLC is a general practice dentist in Kissimmee, 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. KISSIMMEE FAMILY DENTISTRY, PLLC NPI is 1407257561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1111 PERSON ST
KISSIMMEE, FL
ZIP 34741-146
Phone: (407) 870-7404
Fax: (407) 870-9960

The provider's authorized official is Patrick J Mokris .
The authorized official title is Owner and has the following contact phone number (407) 870-7404.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 12/4/2019.


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 PracticeDN 18060FLORIDAYes
2332B00000XDurable Medical Equipment & Medical SuppliesNo

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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