MEDICARE: DR. MANMOHAN BATTA BDS, MDS, MS

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	DN0010877	FL
2	1223P0700X	Prosthodontics	DN0010877	FL

General Provider Information

NPI Number	:	1831310101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANMOHAN BATTA BDS, MDS, MS

Provider Business Mailing Address
First Line	:	4250 TOWN CENTER BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6192
Country	:	US
Telephone Number	:	407-856-0208
Fax Number	:	407-856-8113

Provider Business Practice Location Address
First Line	:	4250 TOWN CENTER BLVD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-6192
Country	:	US
Telephone Number	:	407-856-0208
Fax Number	:	407-856-8113

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	09/11/2025

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