# ROBERT ORTA DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194878462
- **Authorized official:** ROBERT ORTA DDS PA (OWNER)
- **Authorized official phone:** (813) 238-0411

## Contact information

- **Practice address:** 801 W DR MARTIN LUTHER KING JR BLVD, STE 2, TAMPA, FL 33603
- **Practice address phone:** (813) 238-0411
- **Practice address fax:** (813) 238-5341
- **Mailing address:** 801 W DR MARTIN LUTHER KING JR BLVD, STE 2, TAMPA, FL 33603
- **Mailing address phone:** (813) 238-0411
- **Mailing address fax:** (813) 238-5341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN14351 | FL | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 06/23/2008