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ORANGE AVENUE DENTISTRY INC. NPI 1215200084


NPI Information

NPI: 1215200084
Provider Name: ORANGE AVENUE DENTISTRY, INC.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2116 S. ORANGE AVE.
ORLANDO, FL
ZIP 32806
Phone: (407) 426-9933
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ORANGE AVENUE DENTISTRY, INC. is a preferred provider organization in Orlando, FL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. ORANGE AVENUE DENTISTRY, INC. NPI is 1215200084. The provider is registered as an organization entity type.

The provider's business location address is:

2116 S. ORANGE AVE.
ORLANDO, FL
ZIP 32806
Phone: (407) 426-9933
Fax: (407) 426-9032

The provider's authorized official is Nabil Naguib Youssef .
The authorized official title is Owner/dentist and has the following contact phone number (407) 426-9933.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 2/9/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationDN16092FLORIDAYes

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
1003787800MEDICAIDFLORIDA

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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