Provider Demographics
NPI:1295896090
Name:TORRES, ORLANDO R (DMD)
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:R
Last Name:TORRES
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 1:171 BLACKSTONE CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736
Mailing Address - Country:US
Mailing Address - Phone:407-595-8644
Mailing Address - Fax:
Practice Address - Street 1:1645 E HWY 50 STE 100
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-5199
Practice Address - Country:US
Practice Address - Phone:352-242-6222
Practice Address - Fax:352-242-0765
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN128041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice