Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477518819 Individual Practitioner Male Practitioner

Dr. Basil Hammoudeh , DMD

Dentist - General Practice • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Basil Hammoudeh, DMD is a registered healthcare professional specializing in Dentist - General Practice in Orlando, FL. Practice services are available at 4307 E COLONIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4307 E Colonial Dr

Orlando, FL 328035217

Telephone 4075140400
Fax 4072063573
Associated Practice Facility / Clinic
🏢 Dentistry At Town Park Llc Facility NPI 1366148942

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Orlando, FL

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

Practicing in Orlando, 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 17461

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

Medicaid State Provider ID
001974700 (FL)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Joseph Wakim , DDS

Dentist - General Practice

NPI 1568001303

Doctor of Dental Surgery

Dr. Clement Contestable , DMD

Dentist - General Practice

NPI 1811208853

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 24, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2013

Registered at 4307 E COLONIAL DR, ORLANDO, FL 328035217 (Tel: 4075140400)

📍
Updated Business Mailing Address April 24, 2013

Registered at 6452 VINELAND RD UNIT 301, ORLANDO, FL 328197875 (Tel: 4079299495)

👤
Provider Name / Credentials Updated April 24, 2013

Recorded as BASIL HAMMOUDEH, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2013

Dentist (License #17461 in FL)

🟢
Initial NPI Registration & Enumeration April 19, 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: 1477518819
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2006
Last Update: April 24, 2013
Sole Proprietor: No

Mailing Address

6452 Vineland Rd Unit 301

Orlando, FL 328197875

Phone: 4079299495

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.