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PRIME PEDIATRIC DENTAL GROUP PA
NPI 1306715263
Dentist - Pediatric Dentistry in Doral, FL

Active since October 30, 2025
10717 NW 58TH ST, DORAL, FL 33178(305) 513-4058 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prime Pediatric Dental Group Pa NPPES

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

PRIME PEDIATRIC DENTAL GROUP PA (NPI 1306715263) is a healthcare organization registered as a pediatric dentistry in Doral, Florida and active in the NPI registry since October 2025. The organization lists Jose I Delgado, Advisor, as its authorized official.

NPPES Registry Identity

NPI1306715263
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePRIME PEDIATRIC DENTAL GROUP PA
Location Address10717 NW 58TH STDoral, FL 33178-2801
Mailing Address10717 Nw 58th StDoral, FL 33178-2801 · (305) 513-4058
Phone(305) 513-4058
Organization SubpartYes
Authorized OfficialJose I DelgadoAdvisor · (904) 806-7080
Enumeration DateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1306715263 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.
10717 NW 58TH ST, Doral, FL 33178
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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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUAN LUIS GARRASTAZU D.M.D.
Dentist
10717 NW 58TH ST
DORAL, FL 33178
Miami-Dade County (305) 513-4058
DORAL PEDIATRIC DENTISTRY, LLC
Dentist (Pediatric Dentistry)
10717 NW 58TH ST
DORAL, FL 33178
Miami-Dade County (305) 513-4058

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 Prime Pediatric Dental Group PA's NPI number?

The NPI number for Prime Pediatric Dental Group PA is 1306715263. It was assigned to this organization in the NPPES registry on October 30, 2025.

Where is Prime Pediatric Dental Group PA located?

Prime Pediatric Dental Group PA is located at 10717 NW 58th St, Doral, FL 33178. The listed phone number is (305) 513-4058.

What is Prime Pediatric Dental Group 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 Prime Pediatric Dental Group PA was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.