DELAND DENTAL NPI 1134594617

NPI Information

  • NPI: 1134594617
  • Provider Name: DELAND DENTAL
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 240 E NEW YORK AVE
    DELAND, FL
    ZIP 32724
  • Phone: (386) 736-7309

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NPI Details

DELAND DENTAL is a dental clinic center in Deland, FL. DELAND DENTAL NPI is 1134594617. The provider is registered as an organization entity type.

The provider's business location address is:

240 E NEW YORK AVE
DELAND, FL
ZIP 32724-522
Phone: (386) 736-7309
Fax: (386) 736-7205

The provider's authorized official is Carlos Medina .
The authorized official title is Dentist and has the following contact phone number (386) 736-7309.

The enumeration date for this NPI number is 12/9/2015 and was last updated on 12/9/2015.

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
1261QD0000XClinic/CenterDentalDN15845FLORIDAYes

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: 11/21/2025

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