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NPI Code Detail

MEDICARE: COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA

MEDICARE: COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
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 Dentistry

General Provider Information

NPI Number : 1689821035
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Provider Business Mailing Address
First Line : 12780 WATERFORD LAKES PKWY STE 105
Second Line :
City : ORLANDO
State : FL
Zip : 32828-4501
Country : US
Telephone Number : 407-382-6122
Fax Number : 407-382-4663
Provider Business Practice Location Address
First Line : 12780 WATERFORD LAKES PKWY STE 105
Second Line :
City : ORLANDO
State : FL
Zip : 32828-4501
Country : US
Telephone Number : 407-382-6122
Fax Number : 407-382-4663
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : BELINDA HUERTA
Credential :
Telephone Number : 217-540-2100
Provider Enumeration Date : 08/27/2008
Last Update Date : 08/28/2023

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Directions to “COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA ” Practice Location

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