1. Home
  2. Directory
  3. Florida
  4. Westlake
  5. Dentist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WESTLAKE PEDIATRIC DENTISTRY, PA
NPI 1245152057
Dentist - Pediatric Dentistry in Westlake, FL

Active since July 27, 2026
4931 SEMINOLE PRATT WHITNEY RD UNIT 1600, WESTLAKE, FL 33470(847) 757-8033 Get Directions Write a Review

NPPES record added: September 16, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 16, 2026, Jul 27, 2026 (2 updates tracked since 2026).

About Westlake Pediatric Dentistry, Pa NPPES

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

WESTLAKE PEDIATRIC DENTISTRY, PA (NPI 1245152057) is a healthcare organization registered as a pediatric dentistry in Westlake, Florida and active in the NPI registry since July 2026. The organization lists Mitchell David Gruzmark, Owner, as its authorized official.

NPPES Registry Identity

NPI1245152057
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameWESTLAKE PEDIATRIC DENTISTRY, PA
Location Address4931 SEMINOLE PRATT WHITNEY RD UNIT 1600Westlake, FL 33470-0045
Mailing Address8499 Nw 14th CtCoral Springs, FL 33071-6208 · (847) 757-8033
Phone(847) 757-8033
Organization SubpartNo
Authorized OfficialMitchell David GruzmarkOwner · (847) 757-8033
Enumeration DateJuly 27, 2026
Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1245152057 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.
4931 SEMINOLE PRATT WHITNEY RD UNIT 1600, Westlake, FL 33470
Open in Google Maps ↗

Other Identifiers 1

Medicaid114189300FL

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

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 Westlake Pediatric Dentistry, PA's NPI number?

The NPI number for Westlake Pediatric Dentistry, PA is 1245152057. It was assigned to this organization in the NPPES registry on July 27, 2026.

Where is Westlake Pediatric Dentistry, PA located?

Westlake Pediatric Dentistry, PA is located at 4931 Seminole Pratt Whitney Rd Unit 1600, Westlake, FL 33470. The listed phone number is (847) 757-8033.

What is Westlake Pediatric 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 Westlake Pediatric Dentistry, PA was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.