Provider Demographics
NPI:1295607687
Name:NOVA CARE DENTAL GROUP INC
Entity type:Organization
Organization Name:NOVA CARE DENTAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-427-7059
Mailing Address - Street 1:1303 S SEMORAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-2915
Mailing Address - Country:US
Mailing Address - Phone:800-221-0401
Mailing Address - Fax:863-312-3707
Practice Address - Street 1:1303 S SEMORAN BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32807-2915
Practice Address - Country:US
Practice Address - Phone:800-221-0401
Practice Address - Fax:863-312-3707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty