Provider Demographics
NPI:1043051279
Name:ORLANDO, ASHLYNN ANN (DMD)
Entity type:Individual
Prefix:DR
First Name:ASHLYNN
Middle Name:ANN
Last Name:ORLANDO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18855 N 83RD AVE
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-2806
Mailing Address - Country:US
Mailing Address - Phone:623-887-6005
Mailing Address - Fax:
Practice Address - Street 1:18855 N 83RD AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-2806
Practice Address - Country:US
Practice Address - Phone:623-887-6005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD012172122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist