Individual provider · Type 1 NPI

Anthony Jonathan Lallouz

General Practice Dentistry · Port Orange, FL

NPI number 1982380838 Active

Practice location

5445 S Williamson Blvd
Port Orange, FL 32128-7399

Call (138) 634-2368 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN32226 (FL)

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.

2 other providers at this address

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About NPI 1982380838

Anthony Jonathan Lallouz's National Provider Identifier is 1982380838, issued on Jun 26, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Port Orange, FL. The record was last updated on Aug 6, 2026.