Provider Demographics
NPI:1225280126
Name:KAPADIA, AJAY MAHESH (DMD)
Entity Type:Individual
Prefix:DR
First Name:AJAY
Middle Name:MAHESH
Last Name:KAPADIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5662 DALEY WAY
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5228
Mailing Address - Country:US
Mailing Address - Phone:407-902-8637
Mailing Address - Fax:
Practice Address - Street 1:926 GREAT POND DR STE 1000
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-7244
Practice Address - Country:US
Practice Address - Phone:407-862-0444
Practice Address - Fax:407-862-2771
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 183981223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics