South Orlando Dental Center

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN18752 Issued in FL

Legal business name

SOUTH ORLANDO DENTAL CENTER

Practice address

11222 S Orange Blossom TRL
Orlando, FL 32837-9428

Phone

(407) 857-9888

NPI assigned

Sep 15, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Miralys M Chardon, DDS

Title

Dentist

Phone

(407) 857-9888

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1316348956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8309 PRESTBURY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328326318",
            "telephone_number": "321-422-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11222 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328379428",
            "telephone_number": "407-857-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ORLANDO DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "CHARDON",
        "authorized_official_first_name": "MIRALYS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-857-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Central Florida Dialysis Partners LLC
• South East Great Health Care Solutions LLC
• South Familia Dental PA
• South Familia Dental PA
• South Orlando Chiropractic & Injury Center
• South Orlando Dental PA
• South Orlando Family Practice & Medical Injury Center LLC
• South Orlando OBGYN and Pediatrics
• South Orlando Pediatrics PLLC
• South Rehabilitation Center, Inc.

• Dental Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.