DAYTONA PEDIATRIC DENTISTRY
NPI 1326470436
Dentist - Pediatric Dentistry in Daytona Beach, FL

Q: What is Medicaid Dentistry Of Daytona LLC's NPI number?

The NPI number for Medicaid Dentistry Of Daytona LLC is 1326470436. It was assigned to this organization in the NPPES registry on July 31, 2013. The provider is also known as Daytona Pediatric Dentistry.

Q: What is Medicaid Dentistry Of Daytona LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since July 31, 2013

1021 SOUTH RIDGEWOOD AVE, DAYTONA BEACH, FL 32114(386) 304-2677(386) 304-1899 Get Directions Write a Review

NPPES record last updated: May 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Daytona Pediatric Dentistry NPPES

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

DAYTONA PEDIATRIC DENTISTRY (NPI 1326470436) is a healthcare organization registered as a pediatric dentistry in Daytona Beach, Florida and active in the NPI registry since July 2013. The organization lists Mubashir Chaudhry, Owner, as its authorized official.

NPPES Registry Identity

NPI1326470436

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMEDICAID DENTISTRY OF DAYTONA LLC

Location Address1021 SOUTH RIDGEWOOD AVEDaytona Beach, FL 32114

Mailing Address1021 South Ridgewood AveDaytona Beach, FL 32114 · (386) 304-2677 · Fax (386) 304-1899

Phone(386) 304-2677

Fax(386) 304-1899

Organization SubpartNo

Authorized OfficialMubashir ChaudhryOwner · (386) 304-2677

Enumeration DateJuly 31, 2013

Last NPPES UpdateMay 21, 2018

✔ NPI 1326470436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in FL · DN13783✔ Licensed in FL · DN18742

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.

Also ListedDentistTaxonomy 122300000X

1021 SOUTH RIDGEWOOD AVE, Daytona Beach, FL 32114

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Other Names 1

Other NameDaytona Pediatric Dentistry

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 Medicaid Dentistry Of Daytona LLC's NPI number?

The NPI number for Medicaid Dentistry Of Daytona LLC is 1326470436. It was assigned to this organization in the NPPES registry on July 31, 2013. The provider is also known as Daytona Pediatric Dentistry.

Where is Medicaid Dentistry Of Daytona LLC located?

Medicaid Dentistry Of Daytona LLC is located at 1021 South Ridgewood Ave, Daytona Beach, FL 32114. The listed phone number is (386) 304-2677.

What is Medicaid Dentistry Of Daytona LLC'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 Medicaid Dentistry Of Daytona LLC was last updated on May 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.