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Active NPI 1316049430 Individual Practitioner Male Practitioner

Dr. Dirk Glen Prusia , DDS

Dentist - General Practice • Altamonte Springs, FL

Professional Overview & Biography Verified Profile Summary

Dr. Dirk Prusia, DDS is a registered healthcare professional specializing in Dentist - General Practice in Altamonte Springs, FL. Practice services are available at 151 S WYMORE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

151 S Wymore Rd
Suite 600

Altamonte Springs, FL 32714

Telephone 4078628158
Fax 4078624811

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Altamonte Springs, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
42 Specialists

Practicing in Altamonte Springs, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 10599

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
60883

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Matthew Green , DDS

Dentist - General Practice

NPI 1427661990

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 151 S WYMORE RD, SUITE 600, ALTAMONTE SPRINGS, FL 32714 (Tel: 4078628158)

📍
Updated Business Mailing Address July 08, 2007

Registered at 151 S WYMORE RD, SUITE 600, ALTAMONTE SPRINGS, FL 32714 (Tel: 4078628158)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DIRK PRUSIA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #10599 in FL)

🟢
Initial NPI Registration & Enumeration September 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316049430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

151 S Wymore Rd, Suite 600

Altamonte Springs, FL 32714

Phone: 4078628158

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.