Healthcare Provider Details

I. General information

NPI: 1891047635
Provider Name (Legal Business Name): CONWAY DENTAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2012
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3862 CURRY FORD RD
ORLANDO FL
32806-2708
US

IV. Provider business mailing address

3862 CURRY FORD RD
ORLANDO FL
32806-2708
US

V. Phone/Fax

Practice location:
  • Phone: 407-894-2048
  • Fax: 407-898-5643
Mailing address:
  • Phone: 407-894-2048
  • Fax: 407-898-5643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN10824
License Number StateFL

VIII. Authorized Official

Name: DR. SARAH QURESHI
Title or Position: GENERAL DENTIST
Credential:
Phone: 407-894-2048