Healthcare Provider Details

I. General information

NPI: 1821544735
Provider Name (Legal Business Name): ARDITA ORMENI D.M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARDITA ORMENI DMD

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 02/23/2024
Certification Date: 02/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N VISTA RIDGE BLVD STE 101
CEDAR PARK TX
78613-2425
US

IV. Provider business mailing address

111 N VISTA RIDGE BLVD STE 101
CEDAR PARK TX
78613-2425
US

V. Phone/Fax

Practice location:
  • Phone: 512-250-2356
  • Fax: 512-250-2356
Mailing address:
  • Phone: 512-250-2356
  • Fax: 512-250-2356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number32298
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: