Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Providence Dental LLC

Organization Dentist · NPI 1407330145

Providence Dental LLC is a Dentist in Orlando, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12450 E Colonial Dr Ste 124
Orlando, FL 32826
Phone: (407) 635-0704
Fax: (407) 286-0439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1407330145
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nadia Kahook — Credentialing Consultant · (954) 446-5797
NPI enumeratedSeptember 19, 2018
Last updated in NPPESSeptember 19, 2018
Mailing address12450 E. Colonial Drive Suite 124, Orlando, FL 32826

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