CONWAY DENTAL CARE NPI 1891047635

NPI Information

NPI: 1891047635
Provider Name: CONWAY DENTAL CARE
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
3862 CURRY FORD RD
ORLANDO, FL
ZIP 32806
Phone: (407) 894-2048
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CONWAY DENTAL CARE is a public health and state or local clinic center in Orlando, FL. CONWAY DENTAL CARE NPI is 1891047635. The provider is registered as an organization entity type.

The provider's business location address is:

3862 CURRY FORD RD
ORLANDO, FL
ZIP 32806-708
Phone: (407) 894-2048
Fax: (407) 898-5643

The provider's authorized official is Karen Nicholson .
The authorized official title is Office Manager and has the following contact phone number (407) 894-2048.

The enumeration date for this NPI number is 10/3/2012 and was last updated on 10/3/2012.

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
1	261QP0905X	Clinic/Center	Public Health, State or Local	DN10824	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	072567600	MEDICAID	FLORIDA

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

NPI Synchronization or Removal

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