ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA
NPI 1285375873
Dentist - General Practice in Crestview, FL

NPI Status: Active since April 06, 2022

Contact Information

775 N FERDON BLVD STE A
CRESTVIEW, FL
ZIP 32536
Phone: (850) 220-1120

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 10D2275695
  • CLIA Cert. Type: Other - DENTAL PRACTICE
  • CLIA Exp. Date: 01-25-2027

About ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA

This page provides the complete NPI Profile along with additional information for Advantage Dental Oral Health Center Of Florida Pa, a provider established in Crestview, Florida operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1285375873 assigned on April 2022. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Sherrie Edmondson (Manager, Licensing & Certification)

NPI
1285375873
Provider Name
ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA
Entity Type
Organization
Location Address
775 N FERDON BLVD STE A CRESTVIEW, FL 32536
Location Phone
(850) 220-1120
Mailing Address
3322 W END AVE STE 400 NASHVILLE, TN 37203
Mailing Phone
(629) 999-5014
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-06-2022
Last Update Date
08-03-2022
Code Navigator

A dentist like Advantage Dental Oral Health Center Of Florida Pa is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHERRIE EDMONDSON

Authorized Official Title
MANAGER, LICENSING & CERTIFICATION
Authorized Official Phone
(629) 999-5014

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2275695
Facility Type
Other - DENTAL PRACTICE
Certificate Effective Date
January 26, 2025
Certificate Expiration Date
January 25, 2027
Laboratory Director
NEIL WILLIAMS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advantage Dental Oral Health Center Of Florida Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285375873, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 6 + 7 + 1 + 0 + 8 + 1 + 4 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1285375873.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
775 N FERDON BLVD STE A
CRESTVIEW, FL 32536

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285375873, enumerated as an "organization" on April 06, 2022.

The provider is located at 775 N FERDON BLVD STE A CRESTVIEW, FL 32536 and the phone number is (850) 220-1120.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.