Organization · Type 2 NPI

Mount Dora Modern Dentistry, PA

General Practice Dentistry · Eustis, FL

NPI number 1659815306 Active

Practice location

17365 US Hwy 441
Eustis, FL 32757

Call (352) 270-3015 Map

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Eustis

Charles E Broadway, Dmd, PAGeneral Practice Dentistry Eustis, FL NPI 1740367879

See all in Eustis →

NPI record

NPI: 1659815306
Entity type: Organization (Type 2)
Issued: Dec 15, 2016
Last updated: Feb 10, 2022
Status: Active

Other names

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Mount Dora Modern Dentistry · doing business as
Mount Dora Modern Dentistry · doing business as

Authorized official

Dr. Thien Le, DMD
Owner
(352) 270-3015

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659815306

Mount Dora Modern Dentistry, PA's National Provider Identifier is 1659815306, issued on Dec 15, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Eustis, FL. The record was last updated on Feb 10, 2022.