PREMIER DENTAL TEAM
NPI 1265855746
Clinic/Center - Dental in Gainesville, FL
Active since February 04, 2014
About Premier Dental Team NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER DENTAL TEAM (NPI 1265855746) is a healthcare organization registered as a dental in Gainesville, Florida and active in the NPI registry since February 2014. The organization lists Ada Yojana Parra, Manager, as its authorized official.
NPPES Registry Identity
NPI1265855746
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePREMIER DENTAL TEAM, PLLC
Location Address3720 NW 43RD ST, SUITE 102Gainesville, FL 32606-6190
Mailing Address3720 Nw 43rd St, Suite 102Gainesville, FL 32606-6190 · (352) 372-3600
Phone(352) 372-3600
Organization SubpartNo
Authorized OfficialAda Yojana ParraManager · (352) 372-3600
Enumeration DateFebruary 4, 2014
✔ NPI 1265855746 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in FL · DN19866
3720 NW 43RD ST, Gainesville, FL 32606
Other Names 1
Doing Business AsPremier Dental Team
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265855746, enumerated as an "organization" on February 04, 2014.
The provider is located at 3720 NW 43RD ST SUITE 102 GAINESVILLE, FL 32606 and the phone number is (352) 372-3600.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.