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General NPI Number Information
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NPI Number | 1326997347
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Entity Type | Organization
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Legal Business Name | COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 19330 US HIGHWAY 441
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City | MOUNT DORA
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State | FL
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Zip | 32757-6766
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Country | US
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Telephone | 352-720-8198
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Fax |
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Provider Business Mailing Address
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Address Line | 19330 US HIGHWAY 441
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City | MOUNT DORA
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State | FL
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Zip | 32757-6766
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | CEMYIRA MCDOUGAL
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Credential |
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Telephone | 217-764-8609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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