Obt Dental Spa

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16586 Issued in FL

Legal business name

OBT DENTAL SPA

Practice address

9753 S Orange Blossom TRL Ste 105
Orlando, FL 32837-8998

Phone

(407) 857-8585

Fax

(407) 857-8448

NPI assigned

Jul 15, 2009

Last updated

Jul 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodolfo Olmos, D.D.S.NPI 1679616577

Title

General Dentist

Phone

(407) 857-8585

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodolfo Andrew Olmos, D.D.S.

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1679616577
  Authorized official Same address or phone

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1538399324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378998",
            "telephone_number": "407-857-8585",
            "fax_number": "407-857-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378998",
            "telephone_number": "407-857-8585",
            "fax_number": "407-857-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBT DENTAL SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "OLMOS",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "407-857-8585",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camila Obregon, PA-C
• Brandon Obryant, PTA
• Obstetrics and Gynecology Associates of Central Florida, LLC
• Obstetrics and Gynecology Specialists of Central Florida, P.a.
• Obt Chiropractic Inc
• Obt Family Medical Clinic
• Obt Medical Clinic,Inc
• Oca Opportunity Community Ability Inc
• Karen Ocampo
• Maria Ocampo

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.