Stephanie K Dexter, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN 17526 Issued in FL

Practice address

11881A East Colonial Drive
Orlando, FL 32826-4723

Phone

(407) 322-8645

Fax

(407) 330-5074

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1467507368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 STATE ROAD 415",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "328264723",
            "telephone_number": "407-322-8645",
            "fax_number": "407-330-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11881A EAST COLONIAL DRIVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264723",
            "telephone_number": "407-322-8645",
            "fax_number": "407-330-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE",
            "identifier": "DN 17526",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Jordan Devoursney, DO
• Dew Anti-Aging and Med Spa LLC
• Sameyeen Dewan, PHARM.D.
• Brianna Dewillis
• Daphne Lynne Dexter, RN
• Tasleene Dez, LPN
• Taylor Alexa Dezego, CRNA
• Perry P.S Dhaliwal, MD
• Teji Dhami, MD
• Sarah Mazin Dhannoon Dhannoon, MD

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.