MEDICARE: DR. EDGAR OMAR ORTIZ PIMENTEL 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
1	1223G0001X	General Practice Dentistry	DN 21822	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699055178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDGAR OMAR ORTIZ PIMENTEL D.M.D

Provider Business Mailing Address
First Line	:	1475 6TH ST NW
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-2365
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1475 6TH ST NW
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-2365
Country	:	US
Telephone Number	:	863-226-0261
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2011
Last Update Date	:	02/24/2017

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