MEDICARE: METRO ORLANDO DENTAL 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
1	122300000X	Dentist	DN8447	FL

General Provider Information

NPI Number	:	1386832376
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO ORLANDO DENTAL LLC

Provider Business Mailing Address
First Line	:	7244 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6749
Country	:	US
Telephone Number	:	407-299-6480
Fax Number	:	407-297-7077

Provider Business Practice Location Address
First Line	:	7244 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6749
Country	:	US
Telephone Number	:	407-299-6480
Fax Number	:	407-297-7077

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EDWARD DAVID STOKES
Credential	:	DDS
Telephone Number	:	407-299-6480

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	10/04/2007

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Directions to “METRO ORLANDO DENTAL LLC ” Practice Location

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