Provider Demographics
NPI:1043543606
Name:ORTEGA, CLAUDIA JOVANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:JOVANA
Last Name:ORTEGA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6336 FOREST HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6104
Mailing Address - Country:US
Mailing Address - Phone:561-642-1177
Mailing Address - Fax:
Practice Address - Street 1:6336 FOREST HILL BLVD
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33415-6104
Practice Address - Country:US
Practice Address - Phone:561-642-1177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 18835122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist