|
| |
|
3502 Avalon Park East Blvd Orlando FL 32828 | |
| (217) 540-5100 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3502 Avalon Park East Blvd, Orlando, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3502 Avalon Park West Blvd Orlando FL 32828-7859 Ph: (407) 374-2480 | 3502 Avalon Park East Blvd Orlando FL 32828 Ph: (217) 540-5100 |
| NPI Number | 1871087692 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871087692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Community Health Centers, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6101 Lake Ellenor Dr, Suite 106, Orlando, FL 32809 Phone: 407-956-4660 Fax: 407-855-8882 | |
Dr Maria's Dental Studio Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4401 E Colonial Dental, Suite 108, Orlando, FL 32803 Phone: 407-228-2251 | |
Bellasmiles Orthodontics Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12001 Avalon Lake Dr Ste K, Orlando, FL 32828 Phone: 407-680-3197 | |
Pure Smiles, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8185 Lee Vista Blvd Ste 200, Orlando, FL 32829 Phone: 407-881-1751 |