Provider Demographics
NPI:1144530460
Name:DR. ANDRE BAPTISTE, D.D.S., P.A.
Entity type:Organization
Organization Name:DR. ANDRE BAPTISTE, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAPTISTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:407-217-2927
Mailing Address - Street 1:8907 CONROY WINDERMERE RD
Mailing Address - Street 2:SUITE E2 & E3
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3127
Mailing Address - Country:US
Mailing Address - Phone:407-217-2927
Mailing Address - Fax:407-294-1099
Practice Address - Street 1:8907 CONROY WINDERMERE RD
Practice Address - Street 2:SUITE E2 & E3
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3127
Practice Address - Country:US
Practice Address - Phone:407-217-2927
Practice Address - Fax:407-294-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN159271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty