Forest Lake Dental Group in Apopka - Dentist
Forest Lake Dental Group - NPI 1871783787
Forest Lake Dental Group is a Dentist in Apopka, Florida. Forest Lake Dental Group practices all healthcare services and medical treatments related to Dentist. The NPI Number for Forest Lake Dental Group is 1871783787. The last update date is 2016-01-14.
Forest Lake Dental Group's current location address is 628 North Bear Lake Road, Apopka, Florida. You can contact this provider via phone number 4078621231 and fax number 4078621222. The mailing address for Forest Lake Dental Group is 628 North Bear Lake Road, Apopka, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Forest Lake Dental Group |
|---|---|
| Address | 628 North Bear Lake Road, Apopka, Florida |
| Phone Number | 4078621231 |
| Fax Number | 4078621222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Martin Manuel Carlos |
| Credentials | DDS |
| Telephone Number | 4078621231 |
NPI Number Detail
| NPI Number | 1871783787 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2016-01-14 |
Provider Mailing Address Detail
| Address | 628 North Bear Lake Road |
|---|---|
| City | Apopka |
| State | Florida (FL) |
| Post Code | 32703 |
| Phone Number | 4078621231 |
| Fax Number | 4078621222 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 14761 |
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Definition: 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: denti |
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What is the unique 10-digit identifier code assigned to Forest Lake Dental Group by the Centers for Medicare & Medicaid Services?
The Forest Lake Dental Group has been issued the NPI (National Provider Identifier) 1871783787 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Forest Lake Dental Group is geographically located?
The Forest Lake Dental Group is physically situated at the following location: 628 North Bear Lake Road, Apopka, FL, 32703.
What is the Forest Lake Dental Group's specialty and taxonomy code?
The Forest Lake Dental Group's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Forest Lake Dental Group receive the assignment of its 1871783787 from the Centers for Medicare & Medicaid Services?
The Forest Lake Dental Group was issued its 1871783787 by the Centers for Medicare & Medicaid Services on 2007-07-26.
As of what date were the details related to Forest Lake Dental Group most recently updated or revised?
The information pertaining to Forest Lake Dental Group, including its address, specialty, and other relevant details, was last updated or revised on 2016-01-14.
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