MEDICARE: OVIEDO FAMILY AND COSMETIC DENTISTRY

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	1223G0001X	General Practice Dentistry	DN0013447	FL

General Provider Information

NPI Number	:	1760509608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OVIEDO FAMILY AND COSMETIC DENTISTRY

Provider Business Mailing Address
First Line	:	2990 BLISS CV
Second Line	:	SUITE 1000
City	:	OVIEDO
State	:	FL
Zip	:	32765-8403
Country	:	US
Telephone Number	:	407-366-3799
Fax Number	:

Provider Business Practice Location Address
First Line	:	2990 BLISS CV
Second Line	:	SUITE 1000
City	:	OVIEDO
State	:	FL
Zip	:	32765-8403
Country	:	US
Telephone Number	:	407-366-3799
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT MICHAEL BLISS
Credential	:	D.M.D.
Telephone Number	:	407-366-3799

Provider Enumeration Date	:	03/24/2007
Last Update Date	:	02/10/2016

Similar Medicare Providers

1417308370 — DR. GARRETT FRANKLIN KEVER DDS
Practice Location Address:

2990 BLISS CV STE 1000
OVIEDO, FL
32765-8403

Practice Phone: 407-366-3799
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1396270328 — DR. BRENNA KEVER D.D.S.
Practice Location Address:

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1316064256 — DR. ROBERT MICHAEL BLISS D.M.D.
Practice Location Address:

2990 BLISS CV , SUITE 1000
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32765-8403

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Practice Fax:

1972933869 — CHRISTOPHER BARRETT STEWART O.D.
Practice Location Address:

2990 BLISS CV
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32765-8403

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Practice Fax:

1750824439 — STEWART FAMILY EYE CARE, PLLC
Practice Location Address:

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1629452719 — PAOLA NINOSKA CRUZ CHERY MD
Practice Location Address:

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