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PRIME PEDIATRIC DENTAL GROUP PA
NPI 1760355325
Dentist - Pediatric Dentistry in Coral Springs, FL

Active since September 29, 2025
9156 WILES RD, CORAL SPRINGS, FL 33067(954) 621-2115 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prime Pediatric Dental Group Pa NPPES

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

PRIME PEDIATRIC DENTAL GROUP PA (NPI 1760355325) is a healthcare organization registered as a pediatric dentistry in Coral Springs, Florida and active in the NPI registry since September 2025. The organization lists Jose I Delgado, Advisor, as its authorized official.

NPPES Registry Identity

NPI1760355325
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePRIME PEDIATRIC DENTAL GROUP PA
Location Address9156 WILES RDCoral Springs, FL 33067-1999
Mailing Address13195 Biscayne Bay DrNorth Miami, FL 33181-2204
Phone(954) 621-2115
Organization SubpartNo
Authorized OfficialJose I DelgadoAdvisor · (904) 806-7080
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1760355325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
9156 WILES RD, Coral Springs, FL 33067
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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

Other Providers at the Same Location NPPES 3

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

SABINE LAUVINCE
Dental Assistant
9156 WILES RD
CORAL SPRINGS, FL 33067
Broward County (954) 255-2787
JOHN S BAZOS,D.M.D.,P.A.
Dentist (Pediatric Dentistry)
9156 WILES RD
CORAL SPRINGS, FL 33067
Broward County (954) 255-2787
DR. JOHN BAZOS D.M.D.
Dentist (Pediatric Dentistry)
9156 WILES RD
CORAL SPRINGS, FL 33067
Broward County (954) 255-2787

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 Prime Pediatric Dental Group PA's NPI number?

The NPI number for Prime Pediatric Dental Group PA is 1760355325. It was assigned to this organization in the NPPES registry on September 29, 2025.

Where is Prime Pediatric Dental Group PA located?

Prime Pediatric Dental Group PA is located at 9156 Wiles Rd, Coral Springs, FL 33067. The listed phone number is (954) 621-2115.

What is Prime Pediatric Dental Group PA'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 Prime Pediatric Dental Group PA was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.