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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIDWAY PREMIER DENTAL, LLC
NPI 1770404105
Dentist - General Practice in Sanford, FL

Active since July 22, 2026
4169 E STATE ROAD 46 STE 1001, SANFORD, FL 32771(321) 286-7916 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Jul 22, 2026 (2 updates tracked since 2026).

About Midway Premier Dental, Llc NPPES

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

MIDWAY PREMIER DENTAL, LLC (NPI 1770404105) is a healthcare organization registered as a general practice in Sanford, Florida and active in the NPI registry since July 2026. The organization lists Robert Gammons, President, as its authorized official.

NPPES Registry Identity

NPI1770404105
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMIDWAY PREMIER DENTAL, LLC
Location Address4169 E STATE ROAD 46 STE 1001Sanford, FL 32771-8666
Mailing Address4169 E State Road 46 Ste 1001Sanford, FL 32771-8666 · (321) 286-7916
Phone(321) 286-7916
Organization SubpartNo
Authorized OfficialRobert GammonsPresident · (321) 286-7916
Enumeration DateJuly 22, 2026
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1770404105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4169 E STATE ROAD 46 STE 1001, Sanford, FL 32771
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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

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 Midway Premier Dental, LLC's NPI number?

The NPI number for Midway Premier Dental, LLC is 1770404105. It was assigned to this organization in the NPPES registry on July 22, 2026.

Where is Midway Premier Dental, LLC located?

Midway Premier Dental, LLC is located at 4169 E State Road 46 Ste 1001, Sanford, FL 32771. The listed phone number is (321) 286-7916.

What is Midway Premier Dental, LLC'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 Midway Premier Dental, LLC was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.