LIFETIME DENTISTRY OF PORT ORANGE
NPI 1376915132
Dentist - General Practice in Port Orange, FL

Active since October 20, 2015
5445 S. WILLIAMSON BLVD, PORT ORANGE, FL 32128(386) 267-6202 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifetime Dentistry Of Port Orange NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFETIME DENTISTRY OF PORT ORANGE (NPI 1376915132) is a healthcare organization registered as a general practice in Port Orange, Florida and active in the NPI registry since October 2015. The organization lists Kendra Walker, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1376915132
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Location Address5445 S. WILLIAMSON BLVDPort Orange, FL 32128
Mailing Address5445 S. Williamson BlvdPort Orange, FL 32128
Organization SubpartYes
Authorized OfficialKendra WalkerCredentialing Coordinator · (217) 540-8312
Enumeration DateOctober 20, 2015
NPI 1376915132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5445 S. WILLIAMSON BLVD, Port Orange, FL 32128

Other Names 1

Doing Business AsLifetime Dentistry Of Port Orange

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Comfortable Care Dental Health Professionals, PA's NPI number?

The NPI number for Comfortable Care Dental Health Professionals, PA is 1376915132. It was assigned to this organization in the NPPES registry on October 20, 2015. The provider is doing business as Lifetime Dentistry Of Port Orange.

Where is Comfortable Care Dental Health Professionals, PA located?

Comfortable Care Dental Health Professionals, PA is located at 5445 S. Williamson Blvd, Port Orange, FL 32128. The listed phone number is (386) 267-6202.

What is Comfortable Care Dental Health Professionals, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Comfortable Care Dental Health Professionals, PA was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.