Provider Demographics
NPI:1144615683
Name:OCOEE DENTAL CARE P.A.
Entity Type:Organization
Organization Name:OCOEE DENTAL CARE P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:BHATHEJA
Authorized Official - Suffix:
Authorized Official - Credentials:BDS
Authorized Official - Phone:407-656-1121
Mailing Address - Street 1:11140 W. COLONIAL DRIVE SUITE 7
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761
Mailing Address - Country:US
Mailing Address - Phone:407-656-1121
Mailing Address - Fax:407-656-4944
Practice Address - Street 1:11140 W. COLONIAL DR. SUITE 7
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761
Practice Address - Country:US
Practice Address - Phone:407-656-1121
Practice Address - Fax:407-656-4944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD9548122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty