CONWAY OAKS DENTAL (NPI# 1609402197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609402197 |
| Entity Type | Organization |
| Organization Name | CONWAY OAKS DENTAL |
| Practice Address |
3221 Conway Rd Ste A Orlando FL 32812-7354 |
| Practice Telephone | 4072770981 |
| Mailing Telephone | 4072770981 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | PETER KELLY (OWNER) |
| Authorized Official Telephone | 4104103031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE LICENSE | DN19430 | 01 |
| Street Address |
3221 CONWAY RD STE A |
| City | ORLANDO |
| State | FL |
| Zip Code | 32812-7354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182651 | Sarah Danielle Combs | Specialist/Technologist | 4521 Lenmore Street, Orlando, FL 32812 | 2020-10-21 |
| 1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
| 1437666955 | Martika Haggerty | Community Health Worker | 3708 South Conway Road, Orlando, FL 32812 | 2018-01-05 |
| 1407370737 | Mary Brooks | Nurse Practitioner | 3788 Gatlin Place Circle, Orlando, FL 32812 | 2017-07-28 |
| 1730602012 | Kimberly S Arenburg | Licensed Practical Nurse | 2452 S. Conway Rd, Apt 337, Orlando, FL 32812 | 2017-07-19 |
| 1710409388 | Deborah Larson Catron | Massage Therapist | 4848 Berrywood Drive, Orlando, FL 32812 | 2017-07-14 |
| 1689108268 | Royal Transportation Group LLC | Taxi | 3835 Mccoy Road, Orlando, FL 32812 | 2017-04-20 |
| 1205289980 | Yania Bradshaw | Behavioral Analyst | 5212 Lake Margaret Dr., Apt 1210, Orlando, FL 32812 | 2016-07-19 |
| 1730552548 | Sarah Jean Pommier | Counselor | 5120 Louvre Ave, Belle Isle, FL 32812 | 2015-11-03 |
| 1528459336 | Minh Ethan Duc Dang | Physician Assistant | 5058 South Conway Rd, Orlando, FL 32812 | 2015-02-16 |
| Find all providers in zip 32812 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073139697 | Curry Ford Dental | Clinic/Center | 5946 Curry Ford Rd Ste 101, Orlando, FL 32822-4209 | 2020-06-19 |
| 1528601309 | Sagori Dental Inc. | Clinic/Center | 6000 Turkey Lake Rd Ste 109, Orlando, FL 32819-4205 | 2019-10-23 |
| 1972145324 | Esteem Holdings LLC | Clinic/Center | 13559 Narcoossee Rd, Orlando, FL 32832-7136 | 2019-10-16 |
| 1881255404 | Planes Dental East Orlando | Clinic/Center | 275 S Chickasaw Trail, Suite 2, Orlando, FL 32825 | 2019-06-25 |
| 1700374212 | Z Maali Dental Inc. | Clinic/Center | 7932 W Sand Lake Rd Ste 301, Orlando, FL 32819-7230 | 2018-04-30 |
| 1861943870 | South Familia Dental Pa | Clinic/Center | 12720 S Orange Blossom Trl Ste 22, Orlando, FL 32837-6227 | 2016-10-14 |
| 1881143089 | Orlando Dentist and Denture Lab LLC | Clinic/Center | 4929 S Orange Ave, Orlando, FL 32806-6932 | 2016-09-28 |
| 1285000141 | Frederick Palacios Dds Pa | Clinic/Center | 531 S Chickasaw Trl, Orlando, FL 32825-7801 | 2015-08-14 |
| 1134503246 | Eds Dental Clinic Inc | Clinic/Center | 251 E Michigan St, Orlando, FL 32806-4537 | 2015-07-17 |
| 1760863039 | Sleep Diagnostics of Central Florida, Inc | Clinic/Center | 1401 Heron Dr, Suite A, Orlando, FL 32803-2323 | 2015-06-12 |
| Find all providers in ORLANDO | ||||
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| 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.