MEDICARE: MRS. SANDRA CONTTI DDS

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
1	122300000X	Dentist	DN22989	FL
2	122300000X	Dentist	22989	FL
3	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1184082018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SANDRA CONTTI DDS

Provider Business Mailing Address
First Line	:	50 CYPRESS POINT PKWY
Second Line	:	A3
City	:	PALM COAST
State	:	FL
Zip	:	32164
Country	:	US
Telephone Number	:	386-626-3296
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 CYPRESS POINT PKWY
Second Line	:	A3
City	:	PALM COAST
State	:	FL
Zip	:	32164
Country	:	US
Telephone Number	:	386-445-0977
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2016
Last Update Date	:	12/17/2025

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