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NPI Code Detail

MEDICARE: ALL DENTAL STARS LLC

MEDICARE: ALL DENTAL STARS LLC
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
1122300000XDentist

General Provider Information

NPI Number : 1306702584
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALL DENTAL STARS LLC
Provider Business Mailing Address
First Line : 809 E OAK ST STE 101
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-5834
Country : US
Telephone Number : 407-729-6746
Fax Number :
Provider Business Practice Location Address
First Line : 809 E OAK ST STE 101
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-5834
Country : US
Telephone Number : 407-729-6746
Fax Number :
Authorized Official
Title or Position : DENTIST AND MANAGER
Name : ALLA BIZANTI
Credential : DDS
Telephone Number : 407-729-6746
Provider Enumeration Date : 12/31/2025
Last Update Date : 12/31/2025

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Directions to “ALL DENTAL STARS LLC ” Practice Location

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