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PIMENDENT II PA NPI 1700203528


NPI Information

NPI: 1700203528
Provider Name: PIMENDENT II, PA

Doing Business As: ASPEN DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1812 DUNLAWTON AVE STE 101
PORT ORANGE, FL
ZIP 32127
Phone: (386) 233-3040
Get Directions

PIMENDENT II, PA is a general practice dentist in Port Orange, 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. PIMENDENT II, PA NPI is 1700203528. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aspen Dental.

The provider's business location address is:

1812 DUNLAWTON AVE STE 101
PORT ORANGE, FL
ZIP 32127-925
Phone: (386) 233-3040
Fax: (386) 756-8810

The provider's authorized official is Amy Marko .
The authorized official title is Vp Ins Ops and has the following contact phone number (315) 454-6000.

The enumeration date for this NPI number is 3/19/2014 and was last updated on 3/19/2014.


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 Practice17338FLORIDAYes

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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