Provider Demographics
NPI:1750647624
Name:KAMAT, SEJAL S (DMD)
Entity Type:Individual
Prefix:DR
First Name:SEJAL
Middle Name:S
Last Name:KAMAT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SEJAL
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1884 W COUNTY ROAD 419 STE 1010
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-4428
Mailing Address - Country:US
Mailing Address - Phone:407-542-4580
Mailing Address - Fax:
Practice Address - Street 1:1884 W COUNTY ROAD 419 STE 1010
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-4428
Practice Address - Country:US
Practice Address - Phone:407-542-4580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 187061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics