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Bashar Adeinat
Periodontist in Orange Park, Florida
NPI 1902248412

Bashar Adeinat is a Periodontist based in Davie, FL and is specialized in Periodontics. Bashar Adeinat practices in Orange Park, FL. The NPI Number for Bashar Adeinat is 1902248412 and holds a License No. (Florida).

The current practice location address for Bashar Adeinat is 1340 Blanding Blvd Ste 108, Orange Park, FL and can be reached out via phone at 904-639-6924.

Location: 1340 Blanding Blvd Ste 108, Orange Park, FL, 33314-4113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902248412
Provider Name
Bashar Adeinat
Credential
Provider Entity Type
Individual
Gender
Male
Address
1340 Blanding Blvd Ste 108, Orange Park, FL, 33314-4113
Phone Number
904-639-6924
Fax Number
Provider Enumeration Date
07/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1340 Blanding Blvd Ste 108
City
Orange Park
State
Florida
Zip
32065
Phone Number
904-639-6924
Fax Number
person
Provider Business Mailing Address Details
Address
1340 Blanding Blvd Ste 108
City
Orange Park
State
Florida
Zip
32065
Phone Number
904-639-6924
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
DN22303 (Florida)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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