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PEDIATRIC DENTAL GROUP, LLC
NPI 1235697707
Dentist - Pediatric Dentistry in Orlando, FL

Active since March 04, 2019
12601 NARCOOSSEE RD, UNITE 100A, ORLANDO, FL 32832(407) 737-7767(407) 737-0769 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pediatric Dental Group, Llc NPPES

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

PEDIATRIC DENTAL GROUP, LLC (NPI 1235697707) is a healthcare organization registered as a pediatric dentistry in Orlando, Florida and active in the NPI registry since March 2019. The organization lists Olubisi Alna, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1235697707
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL GROUP, LLC
Location Address12601 NARCOOSSEE RD, UNITE 100AOrlando, FL 32832
Mailing Address9161 Narcoossee Rd, Ste 101bOrlando, FL 32827 · (407) 737-7767 · Fax (407) 737-0769
Phone(407) 737-7767
Fax(407) 737-0769
Organization SubpartNo
Authorized OfficialOlubisi AlnaCo-owner · (407) 737-7767
Enumeration DateMarch 4, 2019
✔ NPI 1235697707 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.
12601 NARCOOSSEE RD, Orlando, FL 32832
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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

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 Pediatric Dental Group, LLC's NPI number?

The NPI number for Pediatric Dental Group, LLC is 1235697707. It was assigned to this organization in the NPPES registry on March 4, 2019.

Where is Pediatric Dental Group, LLC located?

Pediatric Dental Group, LLC is located at 12601 Narcoossee Rd Unite 100A, Orlando, FL 32832. The listed phone number is (407) 737-7767.

What is Pediatric Dental Group, LLC'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 Pediatric Dental Group, LLC was last updated on March 4, 2019. 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.