Supradent Inc

General Practice Dentistry · Mount Dora, FL

Organization Active NPI

NPI number 1932276565

Practice location

18515 Us Hwy 441
Mount Dora, FL 32757-6703
Phone
(352) 383-5377
Fax
(352) 383-2513

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NPI record

NPI
1932276565
Entity type
Organization (Type 2)
Enumeration date
November 29, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Authorized official

Name
Dr. James P Costello, DDS
Title
President
Phone
(352) 408-1400

Other names

  • Tri Dental

About Supradent Inc

Supradent Inc is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 18515 Us Hwy 441, Mount Dora, FL 32757-6703. The NPI number 1932276565 was assigned on November 29, 2006 and the record was last updated on August 22, 2020.

The authorized official for this organization is Dr. James P Costello, DDS, President.

Frequently asked questions

What is the NPI number of Supradent Inc?

The NPI number is 1932276565.

What is the phone number of Supradent Inc?

The phone number listed for the practice location is (352) 383-5377.

Where is Supradent Inc located?

18515 Us Hwy 441, Mount Dora, FL 32757-6703.

What is the taxonomy code for Supradent Inc?

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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