Medicaid Dentistry Of Daytona Llc
Dental Clinic
1021 South Ridgewood Ave, Daytona Beach
Florida, 32114
386-304-2677 386-304-1899
Maps & DirectionsMedicaid Dentistry Of Daytona Llc is a Dental Clinic in Daytona Beach, Florida. It is located at 1021 South Ridgewood Ave, Daytona Beach, FL and its contact number is 386-304-2677. The authorized person for Medicaid Dentistry Of Daytona Llc is Mr. Mubashir Chaudhry
who is Owner of the clinic and their contact number is 386-304-2677. The primary license number for Medicaid Dentistry Of Daytona Llc is DN13783 (Pediatric Dentistry) in Florida.
Medicaid Dentistry Of Daytona Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Medicaid Dentistry Of Daytona Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Medicaid Dentistry Of Daytona Llc |
| Specialization: | Dentistry |
| Clinic Address: | 1021 South Ridgewood Ave, Daytona Beach,
Florida, 32114 |
| Phone: | 386-304-2677 |
| Fax: | 386-304-1899 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Mubashir Chaudhry |
| Position: | Owner |
| Contact Number: | 386-304-2677 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Medicaid Dentistry Of Daytona Llc clinic are as mentioned below.
| NPI Number: | 1326470436 |
| NPI Enumeration Date: | 31 Jul, 2013 |
| NPI Last Update On: | 21 May, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medicaid Dentistry Of Daytona Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | DN13783 | Florida | Primary | |
| Dentist | | Florida | Secondary | |
| Pediatric Dentistry | DN18742 | Florida | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Medicaid Dentistry Of Daytona Llc
1021 South Ridgewood Ave,
Daytona Beach, Florida |
| Zip: | 32114 |
| Phone Number: | 386-304-2677 |
| Fax Number: | 386-304-1899 |
Patients can reach Medicaid Dentistry Of Daytona Llc at
1021 South Ridgewood Ave, Daytona Beach, Florida or can
call to book an appointment on 386-304-2677.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.