Provider Demographics
NPI:1336714781
Name:PLANES DENTAL ORLANDO, LLC
Entity Type:Organization
Organization Name:PLANES DENTAL ORLANDO, LLC
Other - Org Name:OVIEDO DENTAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:A
Authorized Official - Last Name:PLANES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:772-231-6004
Mailing Address - Street 1:980 OVIEDO BLVD STE 1000
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-3607
Mailing Address - Country:US
Mailing Address - Phone:321-296-6837
Mailing Address - Fax:312-415-9992
Practice Address - Street 1:980 OVIEDO BLVD
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-3606
Practice Address - Country:US
Practice Address - Phone:407-706-3434
Practice Address - Fax:407-706-3449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty