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PRESTIGE DENTAL KISSIMMEE PA NPI 1578338646


NPI Information

NPI: 1578338646
Provider Name: PRESTIGE DENTAL KISSIMMEE PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
312 W BASS ST
KISSIMMEE, FL
ZIP 34741
Phone: (407) 780-8823
Get Directions

PRESTIGE DENTAL KISSIMMEE PA 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. PRESTIGE DENTAL KISSIMMEE PA NPI is 1578338646. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

312 W BASS ST
KISSIMMEE, FL
ZIP 34741-001
Phone: (407) 780-8823

The provider's authorized official is Qi Wang .
The authorized official title is Owner/dentist and has the following contact phone number (407) 780-8823.

The enumeration date for this NPI number is 11/20/2023 and was last updated on 11/20/2023.


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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