DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHEASTERN DENTAL GROUP

Active Organization

SOUTHEASTERN DENTAL GROUP is a Dentist organization located in ORLANDO, Florida. NPI 1861403883 is currently active in the NPPES registry. Verify at CMS.

Dentist · ORLANDO, FL

Registration Details

NPI Number
1861403883
Provider Type
Organization
NPI Issued
Aug 11, 2006 (19.964225411167 yrs)
Last Updated
Aug 22, 2020
Licenses
DN15633 (FL)
DN15714 (FL)

Practice Information

Address
6415 SOUTH CHICKASAW TRAIL
ORLANDO, FL, 32829
Browse FL providers · Browse ZIP 32829
Phone
4073822282
Fax
4073822858
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.