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DISTINCTIVE DENTISTRY OF SANFORD
NPI 1386795854
Dentist - General Practice in Sanford, FL

Active since January 13, 2007
200 W LAKE MARY BLVD, SANFORD, FL 32773(407) 330-1700 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Distinctive Dentistry Of Sanford NPPES

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

DISTINCTIVE DENTISTRY OF SANFORD (NPI 1386795854) is a healthcare organization registered as a general practice in Sanford, Florida and active in the NPI registry since January 2007. The organization lists Peter Weisbruch, Owner, as its authorized official.

NPPES Registry Identity

NPI1386795854
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDISTINCTIVE DENTISTRY OF SANFORD
Location Address200 W LAKE MARY BLVDSanford, FL 32773-5925
Mailing Address200 W Lake Mary BlvdSanford, FL 32773-5925 · (407) 330-1700
Phone(407) 330-1700
Organization SubpartNo
Authorized OfficialPeter WeisbruchOwner · (407) 330-1700
Enumeration DateJanuary 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386795854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 9352
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.

200 W LAKE MARY BLVD, Sanford, FL 32773
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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

What is DISTINCTIVE DENTISTRY OF SANFORD's NPI number?

The NPI number assigned to this healthcare provider is 1386795854, enumerated as an "organization" on January 13, 2007.

Where is the provider located?

The provider is located at 200 W LAKE MARY BLVD SANFORD, FL 32773 and the phone number is (407) 330-1700.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.