Provider Demographics
NPI:1477017671
Name:ALAFAYA PEDIATRIC DENTISTRY INC.
Entity Type:Organization
Organization Name:ALAFAYA PEDIATRIC DENTISTRY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-388-4995
Mailing Address - Street 1:1689 WINTERBERRY LN
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33327-2335
Mailing Address - Country:US
Mailing Address - Phone:407-388-4995
Mailing Address - Fax:
Practice Address - Street 1:448 S ALAFAYA TRL STE 15
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8998
Practice Address - Country:US
Practice Address - Phone:407-388-4995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty