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NPI Code Detail

MEDICARE: TEK TO D.M.D.

MEDICARE:   TEK  TO  D.M.D.
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
1122300000XDentistDN30613FL

General Provider Information

NPI Number : 1558243212
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEK TO D.M.D.
Provider Business Mailing Address
First Line : 2301 LEE RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1749
Country : US
Telephone Number : 321-430-3933
Fax Number :
Provider Business Practice Location Address
First Line : 2301 LEE RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1749
Country : US
Telephone Number : 321-430-3933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2025
Last Update Date : 04/14/2026

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Directions to “ TEK TO D.M.D.” Practice Location

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