NPI 1457726911 · live from the CMS NPI Registry
113th Street Seminole Orthodontics LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Seminole, FL. National Provider Identifier 1457726911, active.
NPI record
| NPI | 1457726911 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 8500 113th St, Seminole, FL 33772 |
| Practice phone | 727-399-2000 |
| Enumerated | December 9, 2015 |
| Last updated | December 10, 2015 |
| Authorized official | Bill Layman, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 15686 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.