Individual provider Active NPI

Farzana Uddin, DMD

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1699878769
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17299 Issued in FL
Practice address
3907 E Colonial Dr
Coast Dental
Orlando, FL 32803-5209
Phone
(407) 228-0132
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN17299 FL Primary

Addresses

Primary practice location

3907 E Colonial Dr
Coast Dental
Orlando, FL 32803-5209

Mailing address

3907 E Colonial Dr
Coast Dental
Orlando, FL 32803-5209
Phone (407) 228-0132

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151124002612 FL Order and Referring Only - DentistPractitioner - DentistPractitioner - Oral Surgery 3779883624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. PastSince Jun 22, 2021 Accepting new patients
Coast Dental P.a. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1699878769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 E COLONIAL DR",
            "address_2": "COAST DENTAL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035209",
            "telephone_number": "407-228-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3907 E COLONIAL DR",
            "address_2": "COAST DENTAL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035209",
            "telephone_number": "407-228-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "FARZANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.