Anne Chon, D.M.D.

Individual provider Active NPI General Practice Dentistry · Windermere, FL

NPI 1447639463 · NPPES record last updated Aug 30, 2016

Key facts

NPI
1447639463
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN21737 (FL)
Practice address
7828 Winter Garden Vineland Rd
Suite 100
Windermere, FL 34786-5933
Phone
(407) 614-8796
Fax
(407) 614-4516
NPI assigned
May 22, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160830002275 FL Order and Referring Only - Dentist
Practitioner - Dentist
2264727254

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
DN21737FLMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN21737 FL Yes

Addresses

Primary practice location

7828 Winter Garden Vineland Rd
Suite 100
Windermere, FL 34786-5933

Mailing address

7828 Winter Garden Vineland Rd
Suite 100
Windermere, FL 34786-5933
Phone (407) 614-8796

Other providers in Windermere, FL

All providers in Windermere, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.