TRUE VINE DENTAL CARE NPI 1477302784

NPI Information

  • NPI: 1477302784
  • Provider Name: TRUE VINE DENTAL CARE
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 2633 W STATE ROAD 434
    LONGWOOD, FL
    ZIP 32779
  • Phone: (602) 481-0153

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NPI Details

TRUE VINE DENTAL CARE is a dental clinic center in Longwood, FL. TRUE VINE DENTAL CARE NPI is 1477302784. The provider is registered as an organization entity type.

The provider's business location address is:

2633 W STATE ROAD 434
LONGWOOD, FL
ZIP 32779-878
Phone: (602) 481-0153

The provider's authorized official is Shady Ashamalla .
The authorized official title is Owner/dentist and has the following contact phone number (602) 481-0153.

The enumeration date for this NPI number is 5/17/2024 and was last updated on 5/17/2024.

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/CenterDentalYes

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

NPI Synchronization or Removal

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