| Sanford Plaza Dental Center | |
|
2921 S Orlando Dr Suite 146 Sanford FL 32773-4103 | |
| (407) 322-9992 | |
| (407) 322-4415 |
| Full Name | Sanford Plaza Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2921 S Orlando Dr, Sanford, Florida |
| Authorized Official Name and Position | Ronald Michael Marini (PRESIDENT) |
| Authorized Official Contact | 4073229992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Plaza Dental Center 1495 Stellar Dr Oviedo FL 32765-9685 Ph: (407) 365-3817 | Sanford Plaza Dental Center 2921 S Orlando Dr Suite 146 Sanford FL 32773-4103 Ph: (407) 322-9992 |
| NPI Number | 1285773465 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285773465 | NPI | - | NPPES |
| 991268 | Other | FL | COMDENT HEALTHY KIDS |
| 076031500 | Medicaid | FL | |
| 074986900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN8441 (Florida) | Primary |
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Plaza Dental Centers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 S Orlando Dr Ste 146, Sanford, FL 32773 Phone: 407-322-9992 Fax: 407-322-4415 | |
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