Tara Marie Resnik, DMD
Dentist, General Practice in Lake Mary, FL. Individual provider (NPI-1).
NPI number1982195194
StatusActive
Last updated in NPPESMar 7, 2022
Details
- NPI
- 1982195194
- Entity type
- Individual (NPI-1)
- Name
- Tara Marie Resnik
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2018
- Certification date
- Mar 7, 2022
- Last updated
- Mar 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN23402 | FL | Yes |
| 1223G0001X | Dentist, General Practice | DS041946 | PA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
229 Wheelhouse Ln Ste 1241Lake Mary, FL 32746-3665
Phone 954-701-0871
Mailing address
668 Stonefield LoopLake Mary, FL 32746-5337
Phone 386-742-4359
Other practice locations
147 Wilson Rd
Bentleyville, PA 15314-1027
Bentleyville, PA 15314-1027
Phone 724-239-3533
1010 Delafield Rd
Pittsburgh, PA 15215-1802
Pittsburgh, PA 15215-1802
Phone 412-822-2222
2409 S Woodland Blvd
Deland, FL 32720
Deland, FL 32720
Phone 386-742-4359
12250 Strategy Blvd Ste 437
Orlando, FL 32817-2108
Orlando, FL 32817-2108
Phone 407-284-1645
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All 47 General Practice Dentistry providers in Lake Mary · All 2,587 providers in Lake Mary
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