DEBARY DENTISTRY LLC
NPI 1366078750
Clinic/Center - Dental in Debary, FL

Active since March 17, 2020
190 N CHARLES RICHARD BEALL BLVD STE 101, DEBARY, FL 32713(386) 668-2003 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debary Dentistry Llc NPPES

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

DEBARY DENTISTRY LLC (NPI 1366078750) is a healthcare organization registered as a dental in Debary, Florida and active in the NPI registry since March 2020. The organization lists Peter Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1366078750
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDEBARY DENTISTRY LLC
Location Address190 N CHARLES RICHARD BEALL BLVD STE 101Debary, FL 32713-2271
Mailing Address190 N Charles Richard Beall Blvd Ste 101Debary, FL 32713-2271 · (386) 668-2003
Organization SubpartNo
Authorized OfficialPeter KellyOwner · (410) 303-1528
Enumeration DateMarch 17, 2020
NPPES CertifiedMarch 17, 2020
NPI 1366078750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
190 N CHARLES RICHARD BEALL BLVD STE 101, Debary, FL 32713

Other Identifiers 1

OtherDN19430FL · State License

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
190 N CHARLES RICHARD BEALL BLVD STE 101
DEBARY, FL 32713

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 Debary Dentistry LLC's NPI number?

The NPI number for Debary Dentistry LLC is 1366078750. It was assigned to this organization in the NPPES registry on March 17, 2020.

Where is Debary Dentistry LLC located?

Debary Dentistry LLC is located at 190 N Charles Richard Beall Blvd Ste 101, Debary, FL 32713. The listed phone number is (386) 668-2003.

What is Debary Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Debary Dentistry LLC was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.