NPI 1134594617 DELAND DENTAL DELAND FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Deland Dental - NPI: 1134594617

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: DELAND DENTAL
NPI Number: 1134594617
Entity Type Code: Organizational (2)
Authorized Official Name: CARLOS MEDINA
(DENTIST)
Mailing Address: 240 E New York Ave
Deland
State: FL US
Postal Code: 327245522
Phone Number: 3867367309
Fax Number: 3867367205
NPI Enumeration Date: 12/09/2015
NPI Last Update Date: 12/09/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QD0000X
License Number: DN15845
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Dental
Taxonomy Definition:


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