Healthcare Provider Details

I. General information

NPI: 1144937228
Provider Name (Legal Business Name): CAROLINA ESTEVES DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2022
Last Update Date: 03/02/2024
Certification Date: 03/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1603 S HIAWASSEE RD STE 135
ORLANDO FL
32835-6439
US

IV. Provider business mailing address

1603 S HIAWASSEE RD STE 135
ORLANDO FL
32835-6439
US

V. Phone/Fax

Practice location:
  • Phone: 407-293-8324
  • Fax:
Mailing address:
  • Phone: 321-328-0806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN27678
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: