Provider Demographics
NPI:1336304559
Name:CADENA, JAIME (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:
Last Name:CADENA
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 1:2916 VINELAND RD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-5503
Mailing Address - Country:US
Mailing Address - Phone:407-390-9113
Mailing Address - Fax:
Practice Address - Street 1:133 TERRA MANGO LOOP STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-8509
Practice Address - Country:US
Practice Address - Phone:407-522-7989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2018-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18299122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist