MEDICARE: DR. KATHY ANN HELSBY D.D.S.

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	DN 8182	FL

General Provider Information

NPI Number	:	1821232646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHY ANN HELSBY D.D.S.

Provider Business Mailing Address
First Line	:	2100 ALOMA AVE
Second Line	:	SUITE 200
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3301
Country	:	US
Telephone Number	:	407-678-1601
Fax Number	:	407-261-5513

Provider Business Practice Location Address
First Line	:	2100 ALOMA AVE
Second Line	:	SUITE 200
City	:	WINTER PARK
State	:	FL
Zip	:	32792-3301
Country	:	US
Telephone Number	:	407-678-1601
Fax Number	:	407-261-5513

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

Provider Enumeration Date	:	04/23/2009
Last Update Date	:	04/23/2009

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