| Luminary Dental | |
|
1178 Fay Blvd Cocoa FL 32927-8739 | |
| (321) 343-3979 | |
| (321) 220-9697 |
| Full Name | Luminary Dental |
|---|---|
| Speciality | Dentist |
| Location | 1178 Fay Blvd, Cocoa, Florida |
| Authorized Official Name and Position | Owais Khan (DENTIST/OWNER) |
| Authorized Official Contact | 3213433979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminary Dental 1178 Fay Blvd Cocoa FL 32927-8739 Ph: (321) 343-3979 | Luminary Dental 1178 Fay Blvd Cocoa FL 32927-8739 Ph: (321) 343-3979 |
| NPI Number | 1972433084 |
|---|---|
| Provider Enumeration Date | 05/20/2026 |
| Last Update Date | 06/17/2026 |
| Certification Date | 06/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972433084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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