DENTAL SPECIALISTS OF CENTRAL FLORIDA
NPI 1336459064
Dentist - General Practice in Merritt Island, FL

Active since October 15, 2010
455 MAGNOLIA AVE, MERRITT ISLAND, FL 32952(321) 453-7750(321) 453-4966 Get Directions Write a Review

NPPES record last updated: October 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental Specialists Of Central Florida NPPES

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

DENTAL SPECIALISTS OF CENTRAL FLORIDA (NPI 1336459064) is a healthcare organization registered as a general practice in Merritt Island, Florida and active in the NPI registry since October 2010. The organization lists Jonathan Ouellette, Owner, as its authorized official.

NPPES Registry Identity

NPI1336459064
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL SPECIALISTS OF CENTRAL FLORIDA
Location Address455 MAGNOLIA AVEMerritt Island, FL 32952-4838
Mailing Address455 Magnolia AveMerritt Island, FL 32952-4838 · (321) 453-7750 · Fax (321) 453-4966
Fax(321) 453-4966
Organization SubpartNo
Authorized OfficialJonathan OuelletteOwner · (321) 453-7750
Enumeration DateOctober 15, 2010
NPI 1336459064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in FL · DN19187 Licensed in FL · DN19069
Definition
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.
Also ListedDental HygienistTaxonomy 124Q00000X · License DH17841 (FL)
455 MAGNOLIA AVE, Merritt Island, FL 32952

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

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
455 MAGNOLIA AVE
MERRITT ISLAND, FL 32952

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 Dental Specialists Of Central Florida's NPI number?

The NPI number for Dental Specialists Of Central Florida is 1336459064. It was assigned to this organization in the NPPES registry on October 15, 2010.

Where is Dental Specialists Of Central Florida located?

Dental Specialists Of Central Florida is located at 455 Magnolia Ave, Merritt Island, FL 32952. The listed phone number is (321) 453-7750.

What is Dental Specialists Of Central Florida's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dental Specialists Of Central Florida was last updated on October 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.