MEDICARE: AKEL DENTAL

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	DN18305	FL
2	122300000X	Dentist	DN18012	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	:	1699097352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AKEL DENTAL

Provider Business Mailing Address
First Line	:	5445 COMMERCIAL WAY
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1110
Country	:	US
Telephone Number	:	352-596-9900
Fax Number	:	352-596-9954

Provider Business Practice Location Address
First Line	:	5445 COMMERCIAL WAY
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1110
Country	:	US
Telephone Number	:	352-596-9900
Fax Number	:	352-596-9954

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AMIR AKEL
Credential	:	DMD
Telephone Number	:	352-596-9900

Provider Enumeration Date	:	02/23/2010
Last Update Date	:	02/23/2010

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Directions to “AKEL DENTAL ” Practice Location

Language	Start Address	Practice Location

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