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NPI Code Detail

MEDICARE: DR. MARLA RENEE CHAVEZ DMD

MEDICARE: DR. MARLA RENEE CHAVEZ DMD
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 DentistryDN29266FL

General Provider Information

NPI Number : 1548005705
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARLA RENEE CHAVEZ DMD
Provider Business Mailing Address
First Line : 13282 STODDART AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32827-7791
Country : US
Telephone Number : 786-397-1588
Fax Number :
Provider Business Practice Location Address
First Line : 7326 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-6055
Country : US
Telephone Number : 407-704-2094
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2024
Last Update Date : 02/02/2026

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