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AVALONDENTAL GROUP NPI 1942556337


NPI Information

NPI: 1942556337
Provider Name: AVALONDENTAL GROUP
Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
12950 E COLONIAL DR STE 124
ORLANDO, FL
ZIP 32826
Phone: (407) 281-1119
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AVALONDENTAL GROUP is a dental public health dentist in Orlando, FL. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. AVALONDENTAL GROUP NPI is 1942556337. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12950 E COLONIAL DR STE 124
ORLANDO, FL
ZIP 32826-609
Phone: (407) 281-1119
Fax: (407) 381-3711

The provider's authorized official is Nga K Van .
The authorized official title is Dentist and has the following contact phone number (407) 281-1119.

The enumeration date for this NPI number is 8/3/2012 and was last updated on 8/3/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public HealthDN17986FLORIDAYes

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
1003333500MEDICAIDFLORIDA

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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