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NPI Code Detail

MEDICARE: DENTAL ASSOCIATES OF CENTRAL FLORIDA

MEDICARE: DENTAL ASSOCIATES OF CENTRAL FLORIDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDN14392FL

General Provider Information

NPI Number : 1043532583
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL ASSOCIATES OF CENTRAL FLORIDA
Provider Business Mailing Address
First Line : 4040 UPPER CREEK DR
Second Line : 101
City : SUN CITY CENTER
State : FL
Zip : 33573-6844
Country : US
Telephone Number : 813-633-3339
Fax Number : 813-633-3313
Provider Business Practice Location Address
First Line : 4040 UPPER CREEK DR
Second Line : 101
City : SUN CITY CENTER
State : FL
Zip : 33573-6844
Country : US
Telephone Number : 813-633-3339
Fax Number : 813-633-3313
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MISS CHELSEA AVILA
Credential :
Telephone Number : 813-633-3339
Provider Enumeration Date : 02/25/2010
Last Update Date : 02/25/2010

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Directions to “DENTAL ASSOCIATES OF CENTRAL FLORIDA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.