Organization · Type 2 NPI

Port Orange Modern Dentistry, PA

Dentist · Port Orange, FL

NPI number 1982179818 Active

Practice location

1765 Dunlawton Ave., Suite 103
Port Orange, FL 32129

Fax (386) 259-3905

Mailing address

PO Box 920050
Dallas, TX 75392-0050

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1982179818

Port Orange Modern Dentistry, PA's National Provider Identifier is 1982179818, issued on Oct 8, 2018. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 25, 2022.