SOUTH FAMILIA DENTAL PA NPI 1861943870

NPI Information

NPI: 1861943870
Provider Name: SOUTH FAMILIA DENTAL PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
12720 S ORANGE BLOSSOM TRL STE 22
ORLANDO, FL
ZIP 32837
Phone: (407) 351-3213
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SOUTH FAMILIA DENTAL PA is a dental clinic center in Orlando, FL. SOUTH FAMILIA DENTAL PA NPI is 1861943870. The provider is registered as an organization entity type.

The provider's business location address is:

12720 S ORANGE BLOSSOM TRL STE 22
ORLANDO, FL
ZIP 32837-227
Phone: (407) 351-3213

The provider's authorized official is Gabriel Sangalang .
The authorized official title is Owner and has the following contact phone number (407) 351-3213.

The enumeration date for this NPI number is 10/14/2016 and was last updated on 10/14/2016.

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
1	261QD0000X	Clinic/Center	Dental	DN19152	ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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