=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356134902
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RR DENTAL ORLANDO PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2025
-----------------------------------------------------
Last Update Date | 05/27/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1600 HILLCREST ST
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32803-4810
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-895-5600
-----------------------------------------------------
Fax | 407-895-5685
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1600 HILLCREST ST
-----------------------------------------------------
City | ORLANDO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32803-4810
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-895-5600
-----------------------------------------------------
Fax | 407-895-5685
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | GENERAL DENTIST/OWNER
-----------------------------------------------------
Name | RESHMA J PATEL
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 407-895-5600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QD0000X
-----------------------------------------------------
Taxonomy Name | Dental Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------