MEDICARE: DR. NAVJOT KAUR ALAG 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
1	122300000X	Dentist	057997	NY
2	390200000X	Student in an Organized Health Care Education/Training Program
3	122300000X	Dentist	DN27632	FL

General Provider Information

NPI Number	:	1578971446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAVJOT KAUR ALAG DDS

Provider Business Mailing Address
First Line	:	3607 ALOMA AVE STE 1031
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8856
Country	:	US
Telephone Number	:	407-917-9392
Fax Number	:

Provider Business Practice Location Address
First Line	:	3607 ALOMA AVE STE 1031
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8856
Country	:	US
Telephone Number	:	407-917-9392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2014
Last Update Date	:	12/20/2022

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