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SIRIN THANASASAVAT DMD PA NPI 1104311331


NPI Information

NPI: 1104311331
Provider Name: SIRIN THANASASAVAT, DMD PA

Doing Business As: BRIGHT SMILE DENTAL AT OVIEDO, INC.

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8010 SUNPORT DR STE 115
ORLANDO, FL
ZIP 32809
Phone: (407) 412-7887
Get Directions

SIRIN THANASASAVAT, DMD PA 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. SIRIN THANASASAVAT, DMD PA NPI is 1104311331. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bright Smile Dental At Oviedo, Inc..

The provider's business location address is:

8010 SUNPORT DR STE 115
ORLANDO, FL
ZIP 32809-897
Phone: (407) 412-7887
Fax: (407) 930-2758

The provider's authorized official is Thida Thana .
The authorized official title is Manager and has the following contact phone number (407) 542-8383.

The enumeration date for this NPI number is 6/29/2018 and was last updated on 4/19/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeFLORIDANo
21223G0001XDentistGeneral PracticeYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1076828600MEDICAIDFLORIDA
2116520600MEDICAIDFLORIDA

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: 4/28/2024

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