# THORNTON PARK DENTAL ARTS, PA

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

## Provider details

- **NPI number:** 1851710115
- **Authorized official:** MR. MICHELE L WILDER (OFFICE MANAGER)
- **Authorized official phone:** (407) 896-2881

## Contact information

- **Practice address:** 1200 E ROBINSON ST, ORLANDO, FL 32801-2116
- **Practice address phone:** (407) 896-2881
- **Practice address fax:** (407) 897-5389
- **Mailing address:** 1200 E ROBINSON ST, ORLANDO, FL 32801-2116
- **Mailing address phone:** (407) 896-2881
- **Mailing address fax:** (407) 897-5389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 15092 | FL | Yes |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 04/15/2014