MONTICELLO DENTISTRY PLLC NPI 1316431455

NPI Information

  • NPI: 1316431455
  • Provider Name: MONTICELLO DENTISTRY PLLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: MONTICELLO DENTISTRY PLLC
  • Address: 1535 W WASHINGTON ST
    MONTICELLO, FL
    ZIP 32344
  • Phone: (850) 997-2485

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NPI Details

MONTICELLO DENTISTRY PLLC is a dental clinic center in Monticello, FL. MONTICELLO DENTISTRY PLLC NPI is 1316431455. The provider is registered as an organization entity type.
The provider Is Doing Business As Monticello Dentistry Pllc.

The provider's business location address is:

1535 W WASHINGTON ST
MONTICELLO, FL
ZIP 32344-133
Phone: (850) 997-2485
Fax: (850) 997-3783

The provider's authorized official is Warren Joseph Thiry .
The authorized official title is President / Dentist and has the following contact phone number (850) 997-2485.

The enumeration date for this NPI number is 6/21/2018 and was last updated on 6/21/2018.

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
1261QD0000XClinic/CenterDentalDN18939FLORIDAYes

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: 11/21/2025

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