Tawadrous, John
Tawadrous, John is an sole proprietor health care provider with primary practice located at 501 N Orlando Ave Ste 233 , Winter Park FL 32789-2947. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Tawadrous, John can be contacted via phone (407) 792-0637.Contact Information
Primary practice address
501 N Orlando Ave Ste 233
Winter Park FL 32789-2947
Phone: (407) 792-0637
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN22323 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | DN22323 | Florida |
Profile Details
| NPI number | 1043768328 |
|---|---|
| LBN Legal business name | Tawadrous, John |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2016 |
| Last updated | Aug 31st, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043768328 | NPPES |
| Florida | MEDICAID | 021314900 |
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