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MY FAVORITE DENTAL BOUTIQUE LLC
NPI 1255182515
Dentist - General Practice in Longwood, FL

Active since March 27, 2024
1670 S US HIGHWAY 17 92, LONGWOOD, FL 32750(407) 274-4744 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About My Favorite Dental Boutique Llc NPPES

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

MY FAVORITE DENTAL BOUTIQUE LLC (NPI 1255182515) is a healthcare organization registered as a general practice in Longwood, Florida and active in the NPI registry since March 2024. The organization lists Paula Grisales Cano, Owner, as its authorized official.

NPPES Registry Identity

NPI1255182515
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMY FAVORITE DENTAL BOUTIQUE LLC
Location Address1670 S US HIGHWAY 17 92Longwood, FL 32750-6516
Mailing Address1670 S Us Highway 17 92Longwood, FL 32750-6516 · (407) 274-4744
Phone(407) 274-4744
Organization SubpartNo
Authorized OfficialPaula Grisales CanoOwner · (407) 274-4744
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1255182515 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.
1670 S US HIGHWAY 17 92, Longwood, FL 32750
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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 ›

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 My Favorite Dental Boutique LLC's NPI number?

The NPI number for My Favorite Dental Boutique LLC is 1255182515. It was assigned to this organization in the NPPES registry on March 27, 2024.

Where is My Favorite Dental Boutique LLC located?

My Favorite Dental Boutique LLC is located at 1670 S Us Highway 17 92, Longwood, FL 32750. The listed phone number is (407) 274-4744.

What is My Favorite Dental Boutique LLC's specialty?

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

What insurance does My Favorite Dental Boutique LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list My Favorite Dental Boutique 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 My Favorite Dental Boutique LLC was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.