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NPI Code Detail

MEDICARE: DR. GERMAN GAITAN DDS

MEDICARE: DR. GERMAN GAITAN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN16966FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164543351
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERMAN GAITAN DDS
Provider Business Mailing Address
First Line : 4501 S SEMORAN BLVD # C
Second Line :
City : ORLANDO
State : FL
Zip : 32822-2407
Country : US
Telephone Number : 407-381-3377
Fax Number : 407-282-4129
Provider Business Practice Location Address
First Line : 4501 S SEMORAN BLVD # C
Second Line :
City : ORLANDO
State : FL
Zip : 32822-2407
Country : US
Telephone Number : 407-381-3377
Fax Number : 407-282-4129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/08/2007

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