| Mid Florida Dental | |
|
809 E Oak St Suite 101 Kissimmee FL 34744-5834 | |
| (407) 870-5004 | |
| Not Available |
| Full Name | Mid Florida Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 809 E Oak St, Kissimmee, Florida |
| Authorized Official Name and Position | Rajesh Sharma (DENTIST) |
| Authorized Official Contact | 4078708047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Florida Dental 809 E Oak St Suite 101 Kissimmee FL 34744-5834 Ph: (407) 870-5004 | Mid Florida Dental 809 E Oak St Suite 101 Kissimmee FL 34744-5834 Ph: (407) 870-5004 |
| NPI Number | 1962704817 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962704817 | NPI | - | NPPES |
| 11576 | Other | FL | MCNA |
| 077825700 | Medicaid | FL | |
| 193694 | Other | FL | DENTAQUEST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10632 (Florida) | Primary |
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