Providence Dental Llc is a Dental Clinic in Orlando, Florida. It is located at 12450 E. Colonial Drive Suite 124, Orlando, FL and its contact number is 407-635-0704. The authorized person for Providence Dental Llc is Nadia Kahook
who is Credentialing Consultant of the clinic and their contact number is 954-446-5797. Providence Dental 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:
Providence Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Providence Dental Llc
Specialization:
Dentistry
Clinic Address:
12450 E. Colonial Drive Suite 124, Orlando, Florida, 32826
Phone:
407-635-0704
Fax:
407-286-0439
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:
Nadia Kahook
Position:
Credentialing Consultant
Contact Number:
954-446-5797
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 Providence Dental Llc clinic are as mentioned below.
NPI Number:
1407330145
NPI Enumeration Date:
19 Sep, 2018
NPI Last Update On:
19 Sep, 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 Providence Dental Llc are as mentioned below.
Specialization
License Number
State
Status
Dentist
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PENDING
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Dental Llc 12450 E. Colonial Drive Suite 124, Orlando, Florida
Zip:
32826
Phone Number:
407-635-0704
Fax Number:
407-286-0439
Patients can reach Providence Dental Llc at 12450 E. Colonial Drive Suite 124, Orlando, Florida or can call to book an appointment on 407-635-0704. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.