OSCEOLA DENTAL INC NPI 1356547418

NPI Information

  • NPI: 1356547418
  • Provider Name: OSCEOLA DENTAL, INC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 3066 MICHIGAN AVE
    KISSIMMEE, FL
    ZIP 34744
  • Phone: (407) 343-9800

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NPI Details

OSCEOLA DENTAL, INC is a general practice dentist in Kissimmee, 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. OSCEOLA DENTAL, INC NPI is 1356547418. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3066 MICHIGAN AVE
KISSIMMEE, FL
ZIP 34744-544
Phone: (407) 343-9800
Fax: (407) 343-9802

The provider's authorized official is Anaura Tirado Velazquez .
The authorized official title is President and has the following contact phone number (407) 343-9800.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 9/2/2015.

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
11223G0001XDentistGeneral PracticeDN12467FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1074075600MEDICAIDFLORIDA

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: 3/30/2025

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