Provider Demographics
NPI:1437978806
Name:ORLANDO FAMILY DENTISTRY, LLC
Entity type:Organization
Organization Name:ORLANDO FAMILY DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ORLANDO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:609-466-1332
Mailing Address - Street 1:312 ROUTE 31 N
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08525-2801
Mailing Address - Country:US
Mailing Address - Phone:609-466-1332
Mailing Address - Fax:
Practice Address - Street 1:312 ROUTE 31 N
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08525-2801
Practice Address - Country:US
Practice Address - Phone:609-466-1332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental