Lori Anderson Aiosa, D.M.D.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Orange Park, FL
NPI 1679640858 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679640858
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- DN0013020 (FL)
- Practice address
- 1530 Business Center Dr
Suite 2
Orange Park, FL 32003-9026 - Phone
- (904) 215-0980
- Fax
- (904) 215-0952
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0013020 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Orthodontics, PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN0013020 | FL | Yes |
Addresses
Primary practice location
1530 Business Center Dr
Suite 2
Orange Park, FL 32003-9026
Mailing address
1894 Osprey Bluff Blvd
Orange Park, FL 32003-7937
Phone (904) 215-1866
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN0013020 | Other | FL | LICENSE NUMBER |
Other providers in Orange Park, FL
- Whitney Ahern
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- Amber A Ahmed
- Eboselumen Emmanuel Aigbe
- Aim Transportation LLC
- Ryan Akhavan
- Muhammad I Akhtar
- Sadia Akram
- Maria Al Chammas
- Rami Al Saidi
All providers in Orange Park, FL · Orthodontics and Dentofacial Orthopedics Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.