MEDICARE: VENETIAN POINTE DENTISTRY, PLLC

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

General Provider Information

NPI Number	:	1548726466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VENETIAN POINTE DENTISTRY, PLLC

Provider Business Mailing Address
First Line	:	5940 TURKEY LAKE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-4202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5940 TURKEY LAKE RD
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-4202
Country	:	US
Telephone Number	:	407-352-6959
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. RICHARD C RAMPI
Credential	:	DMD
Telephone Number	:	407-352-6959

Provider Enumeration Date	:	02/15/2019
Last Update Date	:	02/15/2019

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