Healthcare Provider Details

I. General information

NPI: 1962377507
Provider Name (Legal Business Name): SAPPHIRE DENTAL STUDIO, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 WINDERMERE RD UNIT 12A
WINTER GARDEN FL
34787-6161
US

IV. Provider business mailing address

7148 DESERT MANDARIN ST
WINTER GARDEN FL
34787-3243
US

V. Phone/Fax

Practice location:
  • Phone: 407-906-7555
  • Fax:
Mailing address:
  • Phone: 407-906-7555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: CURTIS DUGAS
Title or Position: OWNER
Credential: DMD
Phone: 407-906-7555