Healthcare Provider Details

I. General information

NPI: 1083745988
Provider Name (Legal Business Name): HAYDEE ARANDA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 07/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 TAMIAMI TRL E BUILDING H
NAPLES FL
34112-3969
US

IV. Provider business mailing address

12435 COLLIER BLVD STE 105
NAPLES FL
34116-6041
US

V. Phone/Fax

Practice location:
  • Phone: 239-732-2697
  • Fax: 239-775-5653
Mailing address:
  • Phone: 239-455-0221
  • Fax: 239-455-7859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License NumberDN14819
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: