10D2233909 CLIA NUMBER - ADVANCED UROLOGY INSTITUTE

Laboratory Demographics

CLIA Number: 10D2233909

Facility Name: ADVANCED UROLOGY INSTITUTE

Facility Address:
900 N SWALLOW TAIL DR #106
PORT ORANGE, FL
ZIP 32129
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Facility Phone Number: 352 430-2937

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669503264

Taxonomy: 122300000X - Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

CLIA Record

Field Name Field Value
CLIA Number 10D2233909
LAB Type Physician Office
Facility Name ADVANCED UROLOGY INSTITUTE
Street 900 N SWALLOW TAIL DR #106
City PORT ORANGE
State FL
ZIP 32129
Phone 352 430-2937
CertificateType 4
CertificateEffectiveDate 8/26/2023
CertificateExpirationDate 8/25/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024