1. Home
  2. Directory
  3. Florida
  4. Brandon
  5. Dentist
  6. NPI Profile

PEDIATRIC DENTAL CENTER
NPI 1710244702
Dentist - Pediatric Dentistry in Brandon, FL

Active since April 16, 2012
517 CORNER DRIVE, BRANDON, FL 33511(813) 685-0804(813) 681-7213 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Dental Center NPPES

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

PEDIATRIC DENTAL CENTER (NPI 1710244702) is a healthcare organization registered as a pediatric dentistry in Brandon, Florida and active in the NPI registry since April 2012. The organization lists William Edward Gonzalez, President, as its authorized official.

NPPES Registry Identity

NPI1710244702
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL CENTER
Location Address517 CORNER DRIVEBrandon, FL 33511-5718
Mailing Address517 Corner DriveBrandon, FL 33511-5718 · (813) 685-0804 · Fax (813) 681-7213
Phone(813) 685-0804
Fax(813) 681-7213
Organization SubpartNo
Authorized OfficialWilliam Edward GonzalezPresident · (813) 685-0804
Enumeration DateApril 16, 2012
✔ NPI 1710244702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in FL · DN6377
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.
517 CORNER DRIVE, Brandon, FL 33511
Open in Google Maps ↗

Other Identifiers 1

Medicaid074133700FL

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

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 Pediatric Dental Center's NPI number?

The NPI number for Pediatric Dental Center is 1710244702. It was assigned to this organization in the NPPES registry on April 16, 2012.

Where is Pediatric Dental Center located?

Pediatric Dental Center is located at 517 Corner Drive, Brandon, FL 33511. The listed phone number is (813) 685-0804.

What is Pediatric Dental Center'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 Pediatric Dental Center was last updated on April 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.