Healthcare Provider Details

I. General information

NPI: 1306957865
Provider Name (Legal Business Name): OANA MIERLOI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 HAND AVE STE J
ORMOND BEACH FL
32174-1136
US

IV. Provider business mailing address

2315 S PENINSULA DR
DAYTONA BEACH FL
32118-5315
US

V. Phone/Fax

Practice location:
  • Phone: 386-677-5552
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN16191
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: