| Creative Dental Arts | |
|
1530 Citrus Medical Ct Suite 102 Ocoee FL 34761-4548 | |
| (407) 290-0290 | |
| (407) 447-4975 |
| Full Name | Creative Dental Arts |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1530 Citrus Medical Ct, Ocoee, Florida |
| Authorized Official Name and Position | Paul F Hettinger (DMD) |
| Authorized Official Contact | 4072900290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Dental Arts 1530 Citrus Medical Ct Suite 102 Ocoee FL 34761-4548 Ph: (407) 290-0290 | Creative Dental Arts 1530 Citrus Medical Ct Suite 102 Ocoee FL 34761-4548 Ph: (407) 290-0290 |
| NPI Number | 1851471197 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 05/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851471197 | NPI | - | NPPES |
| 073558200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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