MEDICARE: SIBEL ARDITI

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 22130	FL

General Provider Information

NPI Number	:	1821441445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIBEL ARDITI

Provider Business Mailing Address
First Line	:	3942 BRITTON PLZ
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-1408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3942 BRITTON PLZ
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-1408
Country	:	US
Telephone Number	:	813-365-3024
Fax Number	:

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

Provider Enumeration Date	:	07/19/2016
Last Update Date	:	07/19/2016

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Directions to “ SIBEL ARDITI ” Practice Location

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