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STRIDE DENTAL HUB LLC
NPI 1104610617
Dentist - General Practice in Sanford, FL

Active since April 08, 2025
5030 W STATE ROAD 46 STE 1018, SANFORD, FL 32771(407) 529-6814 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stride Dental Hub Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STRIDE DENTAL HUB LLC (NPI 1104610617), doing business as Sanford Modern Dentistry, is a healthcare organization registered as a general practice in Sanford, Florida and active in the NPI registry since April 2025. The organization lists Daniel Jimenez, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1104610617
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTRIDE DENTAL HUB LLC
Location Address5030 W STATE ROAD 46 STE 1018Sanford, FL 32771-9247
Mailing Address8154 Lazy Bear LnWinter Park, FL 32792-9409 · (407) 529-6814
Phone(407) 529-6814
Organization SubpartYesParent: Stride Dental Group Llc
Authorized OfficialDaniel JimenezChief Operating Officer · (407) 529-6814
Enumeration DateApril 8, 2025
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1104610617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5030 W STATE ROAD 46 STE 1018, Sanford, FL 32771
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Other Names 1

Doing Business AsSanford Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SMILE OASIS AT SANFORD PA
Dentist
5030 W STATE ROAD 46 STE 1018
SANFORD, FL 32771
Seminole County (407) 792-0226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stride Dental Hub LLC's NPI number?

The NPI number for Stride Dental Hub LLC is 1104610617. It was assigned to this organization in the NPPES registry on April 8, 2025. The provider is doing business as Sanford Modern Dentistry.

Where is Stride Dental Hub LLC located?

Stride Dental Hub LLC is located at 5030 W State Road 46 Ste 1018, Sanford, FL 32771. The listed phone number is (407) 529-6814.

What is Stride Dental Hub LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Stride Dental Hub LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Stride Dental Hub LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stride Dental Hub LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.