Provider Demographics
NPI:1851956882
Name:VALENCIA, JUAN FELIPE (DMD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:FELIPE
Last Name:VALENCIA
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 1:12049 PIONEERS WAY APT 2243
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-2813
Mailing Address - Country:US
Mailing Address - Phone:787-299-0899
Mailing Address - Fax:
Practice Address - Street 1:12049 PIONEERS WAY APT 2243
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-2813
Practice Address - Country:US
Practice Address - Phone:787-299-0899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN278271223P0300X
WI1002022-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No1223G0001XDental ProvidersDentistGeneral Practice