CLERMONT KIDS DENTISTRY PA
NPI 1164998308
Dentist - Pediatric Dentistry in Clermont, FL

Active since October 15, 2018
1655 E HWY 50 STE 101, CLERMONT, FL 34711(407) 446-6644 Get Directions Write a Review

NPPES record last updated: October 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clermont Kids Dentistry Pa NPPES

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

CLERMONT KIDS DENTISTRY PA (NPI 1164998308) is a healthcare organization registered as a pediatric dentistry in Clermont, Florida and active in the NPI registry since October 2018. The organization lists Faraz Tartibi, Owner, as its authorized official.

NPPES Registry Identity

NPI1164998308
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCLERMONT KIDS DENTISTRY PA
Location Address1655 E HWY 50 STE 101Clermont, FL 34711-5056
Mailing Address416 Harley CtOviedo, FL 32765-8359 · (407) 446-6644
Organization SubpartNo
Authorized OfficialFaraz TartibiOwner · (407) 446-6644
Enumeration DateOctober 15, 2018
NPI 1164998308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
1655 E HWY 50 STE 101, Clermont, FL 34711

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
1655 E HWY 50 STE 101
CLERMONT, FL 34711

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 Clermont Kids Dentistry PA's NPI number?

The NPI number for Clermont Kids Dentistry PA is 1164998308. It was assigned to this organization in the NPPES registry on October 15, 2018.

Where is Clermont Kids Dentistry PA located?

Clermont Kids Dentistry PA is located at 1655 E Hwy 50 Ste 101, Clermont, FL 34711. The listed phone number is (407) 446-6644.

What is Clermont Kids Dentistry PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Clermont Kids Dentistry PA was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.