NPI 1003560863 · live from the CMS NPI Registry
Abf Dental Pl
Dentist, General Practice in Orange City, FL. National Provider Identifier 1003560863, active.
NPI record
| NPI | 1003560863 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 942 Saxon Blvd, Orange City, FL 32763 |
| Practice phone | 386-774-0125 |
| Enumerated | February 9, 2022 |
| Last updated | February 9, 2022 |
| Authorized official | Andrew Yoon, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.