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General NPI Number Information
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NPI Number | 1629908223
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Entity Type | Organization
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Legal Business Name | SANTOS LINCON ROBINSON MAITA, DMD, PLLC
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Dates
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Enumeration Date | 05/23/2026
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Last Update Date | 05/23/2026
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Provider Practice Location Address
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Address Line | 316 N JOHN YOUNG PKWY STE 1
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City | KISSIMMEE
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State | FL
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Zip | 34741-4981
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Country | US
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Telephone | 407-910-4025
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Fax | 407-910-4035
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Provider Business Mailing Address
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Address Line | 316 N JOHN YOUNG PKWY STE 1
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City | KISSIMMEE
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State | FL
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Zip | 34741-4981
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Country | US
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Telephone | 407-910-4025
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Fax | 407-910-4035
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Authorized Official
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Title or Position | PRESIDENT/DENTIST
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Name | SANTOS LINCON ROBINSON MAITA
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Credential | DMD
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Telephone | 732-621-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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