NPI 1215200084

Orange Avenue Dentistry, INC.

Organisation Preferred Provider Organization Orlando, FL

Practice location

Address: 2116 S. Orange Ave., Orlando, FL 32806
Phone: (407) 426-9933
Fax: (407) 426-9032
Mailing address: 2116 S Orange Ave, Orlando, FL 32806-3037

Authorised official

Name: Nabil Naguib Youssef
Title: Owner/Dentist
Phone: (407) 426-9933

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence DN16092 (FL)

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Registry record

NPI: 1215200084
Entity type: Organization
NPI issued: 9 Feb 2012
Record last updated: 9 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.