| Aspen Dental | |
|
1812 Dunlawton Ave Ste 101 Port Orange FL 32127-2925 | |
| (386) 233-3040 | |
| (386) 756-8810 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1812 Dunlawton Ave Ste 101, Port Orange, Florida |
| Authorized Official Name and Position | Amy Marko (VP INS OPS) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 1812 Dunlawton Ave Ste 101 Port Orange FL 32127-2925 Ph: (386) 233-3040 |
| NPI Number | 1700203528 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700203528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 17338 (Florida) | Primary |
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