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WINDERMERE DENTAL GROUP NPI 1477672301


NPI Information

NPI: 1477672301
Provider Name: WINDERMERE DENTAL GROUP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6996 PIAZZA GRANDE AVE.
SUITE 209
ORLANDO, FL
ZIP 32835
Phone: (407) 294-1132
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WINDERMERE DENTAL GROUP 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. WINDERMERE DENTAL GROUP NPI is 1477672301. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6996 PIAZZA GRANDE AVE.
SUITE 209
ORLANDO, FL
ZIP 32835
Phone: (407) 294-1132
Fax: (407) 294-1459

The provider's authorized official is Alejandro Moncada .
The authorized official title is Office Manager and has the following contact phone number (407) 294-1132.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 4/22/2009.


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 PracticeFLORIDAYes

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
1=========OTHERFLORIDATAX ID

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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