Provider Demographics
NPI:1871461012
Name:ZELLWOOD INTEGRITY DENTAL
Entity type:Organization
Organization Name:ZELLWOOD INTEGRITY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:786-516-3882
Mailing Address - Street 1:3010 COLFAX ST
Mailing Address - Street 2:
Mailing Address - City:EUSTIS
Mailing Address - State:FL
Mailing Address - Zip Code:32726-7915
Mailing Address - Country:US
Mailing Address - Phone:407-598-8442
Mailing Address - Fax:407-598-8452
Practice Address - Street 1:3116 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ZELLWOOD
Practice Address - State:FL
Practice Address - Zip Code:32798-9661
Practice Address - Country:US
Practice Address - Phone:407-598-8442
Practice Address - Fax:407-598-8452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty