Aesthetic Dentistry of Orlando

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AESTHETIC DENTISTRY OF ORLANDO

Practice address

316 N Alafaya TRL
Orlando, FL 32828-7000

Phone

(407) 720-5812

Fax

(407) 720-5812

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Naoko Fukushima

Title

Doctor

Phone

(407) 720-5812

Specialties & licenses 1

Addresses

Other names 1

• Dental Facial Rejuvenation Other name

Locations

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1689413403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287000",
            "telephone_number": "407-720-5812",
            "fax_number": "407-720-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N ALAFAYA TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287000",
            "telephone_number": "407-720-5812",
            "fax_number": "407-720-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC DENTISTRY OF ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "FUKUSHIMA",
        "authorized_official_first_name": "NAOKO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "407-720-5812",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Facial Rejuvenation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• 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 May 21, 2024; 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.