AOD DENTAL CLINIC, INC.


Address: 1609 E Vine St, Kissimmee, FL 34744-3733
Phone: 4079441319

AOD DENTAL CLINIC, INC. (NPI# 1124441035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124441035
Entity Type Organization
Organization Name AOD DENTAL CLINIC, INC.
Practice Address 1609 E Vine St
Kissimmee
FL 34744-3733
Mailing Address 2901 S Bayshore Dr
Unit 4f
Miami
FL 33133-6016
Practice Telephone 4079441319
Practice Fax Number 4079441438
Mailing Telephone 3052221150
Enumeration Date 2014-01-28
Last Update Date 2014-01-28
Authorized Official Name DR. ABEL O. DE ANNA (PRESIDENT)
Authorized Official Telephone 3052221150
Authorized Official Credential D.M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
DN7784 FL Ambulatory Health Care Facilities

Office Location

Street Address 1609 E VINE ST
City KISSIMMEE
State FL
Zip Code 34744-3733

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Competitor

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City KISSIMMEE
Zip Code 34744

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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