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Dr. Dirk Glen Prusia, DDS
General Practice Dentistry in Altamonte Springs, Florida
NPI 1316049430

Dirk Glen Prusia is a General Practice Dentistry based in Altamonte Springs, FL and is specialized in General Practice. Dirk Glen Prusia practices in Altamonte Springs, FL and has the professional credentials of DDS. The NPI Number for Dirk Glen Prusia is 1316049430 and holds a License No. 10599 (Florida).

The current practice location address for Dirk Glen Prusia is 151 S Wymore Rd, Altamonte Springs, FL and can be reached out via phone at 407-862-8158 and via fax at 407-862-4811.

Location: 151 S Wymore Rd, Altamonte Springs, FL, 32714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316049430
Provider Name
Dirk Glen Prusia
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
151 S Wymore Rd, Altamonte Springs, FL, 32714
Phone Number
407-862-8158
Fax Number
407-862-4811
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60883 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
151 S Wymore Rd
City
Altamonte Springs
State
Florida
Zip
32714
Phone Number
407-862-8158
Fax Number
407-862-4811
person
Provider Business Mailing Address Details
Address
151 S Wymore Rd
City
Altamonte Springs
State
Florida
Zip
32714
Phone Number
407-862-8158
Fax Number
407-862-4811
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10599 (Florida)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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