PEDIATRIC AND FAMILY DENTAL GROUP LLC NPI 1710388269

NPI Information

NPI: 1710388269
Provider Name: PEDIATRIC AND FAMILY DENTAL GROUP LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
6161 WINEGARD RD
ORLANDO, FL
ZIP 32809
Phone: (407) 749-0113
Get Directions

PEDIATRIC AND FAMILY DENTAL GROUP LLC is a pediatric dentistry dentist in Orlando, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC AND FAMILY DENTAL GROUP LLC NPI is 1710388269. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6161 WINEGARD RD
ORLANDO, FL
ZIP 32809-977
Phone: (407) 749-0113
Fax: (407) 786-5878

The provider's authorized official is Jocelyn Espejo .
The authorized official title is Practice Manager and has the following contact phone number (407) 737-7767.

The enumeration date for this NPI number is 9/15/2014 and was last updated on 7/28/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		DN19618	FLORIDA	No
2	122300000X	Dentist		DN20790	FLORIDA	No
3	1223P0221X	Dentist	Pediatric Dentistry	DN18209	FLORIDA	No
4	1223P0221X	Dentist	Pediatric Dentistry	DN17111	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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