Provider Demographics
NPI:1588187017
Name:NADYA ALDOCHINE, DMD, PLLC
Entity Type:Organization
Organization Name:NADYA ALDOCHINE, DMD, PLLC
Other - Org Name:LIFE ENHANCING DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NADYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDOCHINE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-205-9544
Mailing Address - Street 1:9717 EAGLE CREEK CENTER BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-6346
Mailing Address - Country:US
Mailing Address - Phone:407-205-9544
Mailing Address - Fax:
Practice Address - Street 1:9717 EAGLE CREEK CENTER BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-6346
Practice Address - Country:US
Practice Address - Phone:407-205-9544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty