Eddie Clark Waldheim, D.M.D.

General Practice Dentistry · Maitland, FL

Individual Active NPI

NPI number 1285768002

Practice location

750 S Lake Sybelia Dr
Maitland, FL 32751-5547
Phone
(407) 644-3996

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NPI record

NPI
1285768002
Entity type
Individual (Type 1)
Enumeration date
March 15, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN2443 FL

About Dr. Waldheim

Eddie Clark Waldheim, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 750 S Lake Sybelia Dr, Maitland, FL 32751-5547. The NPI number 1285768002 was assigned on March 15, 2007 and the record was last updated on July 8, 2007.

Dr. Waldheim lists a license in the registry: #DN2443 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eddie Clark Waldheim, D.M.D.?

The NPI number is 1285768002.

What is the phone number of Dr. Waldheim?

The phone number listed for the practice location is (407) 644-3996.

Where is Dr. Waldheim located?

750 S Lake Sybelia Dr, Maitland, FL 32751-5547.

What is the taxonomy code for Dr. Waldheim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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