MEDICARE: OCOEE DENTAL & ORTHODONTICS, P.A.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry
2	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1851903298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCOEE DENTAL & ORTHODONTICS, P.A.

Provider Business Mailing Address
First Line	:	2910 MAGUIRE RD STE 1005
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4742
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2910 MAGUIRE RD STE 1005
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4742
Country	:	US
Telephone Number	:	772-539-2591
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MAITRI PATEL
Credential	:	D.M.D
Telephone Number	:	772-539-2591

Provider Enumeration Date	:	08/18/2020
Last Update Date	:	08/18/2020

Similar Medicare Providers

1326859810 — MCKENZIE LEIGH EWALD PMHNP-BC
Practice Location Address:

2910 MAGUIRE RD STE 2002
OCOEE, FL
34761-4742

Practice Phone: 239-690-6906
Practice Fax:

1952520678 — DR. ELYSE SALTALAMACHIA DC,DABCI
Practice Location Address:

2910 MAGUIRE RD STE 1009
OCOEE, FL
34761-4742

Practice Phone: 407-877-8707
Practice Fax: 407-877-7464

1396070041 — LAKOTA WELLNESS, LLC
Practice Location Address:

2910 MAGUIRE RD SUITE 1009
OCOEE, FL
34761-4742

Practice Phone: 407-877-8707
Practice Fax: 407-877-7464

1033577747 — DR. BROOKS ANDREW SAUNDERS D.C.
Practice Location Address:

2910 MAGUIRE RD STE 1009
OCOEE, FL
34761-4742

Practice Phone: 407-877-8707
Practice Fax: 407-877-7464

1407454432 — TASHEKA FIONA NELSON
Practice Location Address:

2910 MAGUIRE RD STE 1002
OCOEE, FL
34761-4742

Practice Phone: 407-654-0557
Practice Fax:

1013627884 — JOMAIRY PAULINO
Practice Location Address:

2910 MAGUIRE RD STE 2002
OCOEE, FL
34761-4742

Practice Phone: 239-690-6906
Practice Fax:

Directions to “OCOEE DENTAL & ORTHODONTICS, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.