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PRIME PEDIATRIC DENTAL GROUP PA
NPI 1316763519
Dentist - Pediatric Dentistry in Hollywood, FL

Active since December 03, 2024
4919 SHERIDAN ST UNIT 50-51, HOLLYWOOD, FL 33021(305) 251-5390 Get Directions Write a Review

NPPES record last updated: December 3, 2024. 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 1316763519) is a healthcare organization registered as a pediatric dentistry in Hollywood, Florida and active in the NPI registry since December 2024. The organization lists Jose Mellado, President, as its authorized official.

NPPES Registry Identity

NPI1316763519
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePRIME PEDIATRIC DENTAL GROUP PA
Location Address4919 SHERIDAN ST UNIT 50-51Hollywood, FL 33021-2823
Mailing Address13757 Sw 152nd StMiami, FL 33177-8125 · (305) 251-5390
Phone(305) 251-5390
Organization SubpartNo
Authorized OfficialJose MelladoPresident · (305) 321-3790
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1316763519 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.
4919 SHERIDAN ST UNIT 50-51, Hollywood, FL 33021
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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

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 1316763519. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Prime Pediatric Dental Group PA located?

Prime Pediatric Dental Group PA is located at 4919 Sheridan St Unit 50-51, Hollywood, FL 33021. The listed phone number is (305) 251-5390.

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 December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.