MEDICARE: DR. MOBEEN ALVI D.D.S.

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	21378	FL
2	122300000X	Dentist	16001	MD
3	1223E0200X	Endodontics	DN21378	FL

General Provider Information

NPI Number	:	1235512781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOBEEN ALVI D.D.S.

Provider Business Mailing Address
First Line	:	7342 W SAND LAKE RD
Second Line	:	SUITE 1065
City	:	ORLANDO
State	:	FL
Zip	:	32819
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7342 W SAND LAKE RD
Second Line	:	SUITE 1065
City	:	ORLANDO
State	:	FL
Zip	:	32819
Country	:	US
Telephone Number	:	407-781-0386
Fax Number	:

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

Provider Enumeration Date	:	07/01/2015
Last Update Date	:	02/15/2022

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