Waterford Chase Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN19721 Issued in FL

Legal business name

WATERFORD CHASE DENTAL

Practice address

801 Woodbury Rd
Suite 102
Orlando, FL 32828-4514

Phone

(407) 674-6890

Fax

(407) 674-6891

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Enea Bifsha, DMD

Title

Owner

Phone

(407) 674-6890

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thanhphuong Dinh, D.M.D.

  • Dentist
  • Orlando, FL
  • NPI 1891954004
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1821471038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WOODBURY RD",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284514",
            "telephone_number": "407-674-6890",
            "fax_number": "407-674-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WOODBURY RD",
            "address_2": "SUITE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284514",
            "telephone_number": "407-674-6890",
            "fax_number": "407-674-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD CHASE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "BIFSHA",
        "authorized_official_first_name": "ENEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-674-6890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon M Wasserstrom, MD
• Christopher William Wasyliw, MD
• Pankaj Watal, M.D.
• Water'S Edge Dermatology
• Waterbridge Dental Group, P.a
• Waterford Dental Associates
• Waterford Lakes Wellness and Injury Inc
• Waterford Lakes Women'S Health Center
• Waterford Park Family Medicine
• Keyana Michelle Waterman

• 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 Jul 7, 2015; 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.