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SOUTH ORLANDO DENTAL CENTER
NPI 1316348956
Clinic/Center - Dental in Orlando, FL

Active since September 15, 2014
11222 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837(407) 857-9888 Get Directions Write a Review

NPPES record last updated: September 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About SOUTH ORLANDO DENTAL CENTER

This page provides the complete NPI Profile along with additional information for South Orlando Dental Center, a provider established in Orlando, Florida operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1316348956 assigned on September 2014. The practitioner's primary taxonomy code is 261QD0000X with license number DN18752 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Miralys M Chardon Dds (Dentist)

NPI
1316348956 Verify this NPI
Provider Name
SOUTH ORLANDO DENTAL CENTER
Entity Type
Organization
Location Address
11222 S ORANGE BLOSSOM TRL ORLANDO, FL 32837
Location Phone
(407) 857-9888
Mailing Address
8309 PRESTBURY DR ORLANDO, FL 32832
Mailing Phone
(321) 422-9993
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-15-2014
Last Update Date
09-15-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
DN18752
License State
FL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MIRALYS M CHARDON DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(407) 857-9888

Reviews for SOUTH ORLANDO DENTAL CENTER

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

WATERBRIDGE DENTAL GROUP, P.A
Dentist (General Practice)
11222 S ORANGE BLOSSOM TRL
ORLANDO, FL 32837
Orange County (407) 240-5250

Frequently Asked Questions

What is SOUTH ORLANDO DENTAL CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1316348956, enumerated as an "organization" on September 15, 2014.

Where is the provider located?

The provider is located at 11222 S ORANGE BLOSSOM TRL ORLANDO, FL 32837 and the phone number is (407) 857-9888.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.