Ryan Lee Mendro is a Periodontics in Ocoee, Florida. Ryan Lee Mendro practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Ryan Lee Mendro is 1326074154. The last update date is 2023-03-07.
Ryan Lee Mendro's current location address is 2666 Maguire Rd, Ocoee, Florida. You can contact this provider via phone number 4079056777 and fax number 4079059519. The mailing address for Ryan Lee Mendro is 2666 Maguire Rd, Ocoee, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ryan Lee Mendro |
|---|---|
| Address | 2666 Maguire Rd, Ocoee, Florida |
| Phone Number | 4079056777 |
| Fax Number | 4079059519 |
| Sole Proprietor | N |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1326074154 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 2666 Maguire Rd |
|---|---|
| City | Ocoee |
| State | Florida (FL) |
| Post Code | 347614752 |
| Phone Number | 4079056777 |
| Fax Number | 4079059519 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN17748 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identifier code issued to Ryan Lee Mendro by the Centers for Medicare & Medicaid Services?
The Ryan Lee Mendro has been assigned the NPI (National Provider Identifier) 1326074154 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Ryan Lee Mendro's facilities are situated?
The facilities of Ryan Lee Mendro are physically located at the following address: 2666 Maguire Rd, Ocoee, FL, 347614752.
What is Ryan Lee Mendro's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ryan Lee Mendro's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
When did the Ryan Lee Mendro receive its 1326074154?
The Ryan Lee Mendro was issued its 1326074154 on 2006-06-23, which is the date when the organization was assigned this unique identifier.
When was the Ryan Lee Mendro's information last updated?
The Ryan Lee Mendro's information was last updated on 2023-03-07.