Van, Vincent T.

Van, Vincent T. is an individual health care provider with primary practice located at 5316 Central Florida Pkwy , Orlando FL 32821-8772. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Van, Vincent T. can be contacted via phone (407) 239-9557.

Contact Information

Primary practice address
5316 Central Florida Pkwy Orlando FL 32821-8772
Phone: (407) 239-9557
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D 8293 Oregon
Dental Providers / Pediatric Dentistry 1223P0221X DN19534 Florida

Profile Details

NPI number 1942296942
LBN Legal business name Van, Vincent T.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2005
Last updated Apr 24th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942296942 NPPES
Florida MEDICAID 004545000

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