PEDIATRIC AND FAMILY DENTAL GROUP LLC - NPI 1710388269

Q: What is Pediatric And Family Dental Group LLC's specialty?

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

On this page

About Pediatric And Family Dental Group Llc NPPES

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

PEDIATRIC AND FAMILY DENTAL GROUP LLC (NPI 1710388269) is a healthcare organization registered as a pediatric dentistry in Orlando, Florida and active in the NPI registry since September 2014. The organization lists Jocelyn Espejo, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1710388269

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePEDIATRIC AND FAMILY DENTAL GROUP LLC

Location Address6161 WINEGARD RDOrlando, FL 32809-4977

Mailing AddressPo Box 590710Orlando, FL 32859-0710 · (407) 749-0113 · Fax (407) 786-5878

Phone(407) 749-0113

Fax(407) 786-5878

Organization SubpartNo

Authorized OfficialJocelyn EspejoPractice Manager · (407) 737-7767

Enumeration DateSeptember 15, 2014

Last NPPES UpdateJuly 28, 2015

✔ NPI 1710388269 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 · DN17111✔ Licensed in FL · DN18209

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 · License DN19618 (FL), DN20790 (FL)

6161 WINEGARD RD, Orlando, FL 32809

Open in Google Maps ↗

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 2

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

DR. LUCIEN SAMUEL JOHNSON D.M.D.

Dentist (General Practice)

6161 WINEGARD RD
ORLANDO, FL 32809

Orange County (407) 855-1340

DR. ROSANA NIKFAR DMD

Dentist (General Practice)

6161 WINEGARD RD
ORLANDO, FL 32809

Orange County (407) 749-0113

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 And Family Dental Group LLC's NPI number?

The NPI number for Pediatric And Family Dental Group LLC is 1710388269. It was assigned to this organization in the NPPES registry on September 15, 2014.

Where is Pediatric And Family Dental Group LLC located?

Pediatric And Family Dental Group LLC is located at 6161 Winegard Rd, Orlando, FL 32809. The listed phone number is (407) 749-0113.

What is Pediatric And Family Dental Group 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 Pediatric And Family Dental Group LLC was last updated on July 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.