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FL SPECIALTY DENTAL SERVICES, PLLC
NPI 1811682628
Dentist - Pediatric Dentistry in Debary, FL

Active since April 07, 2023
2808 ENTERPRISE RD STE 102, DEBARY, FL 32713(386) 668-7776 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fl Specialty Dental Services, Pllc NPPES

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

FL SPECIALTY DENTAL SERVICES, PLLC (NPI 1811682628) is a healthcare organization registered as a pediatric dentistry in Debary, Florida and active in the NPI registry since April 2023. The organization lists Charlotte Dasch, Director Of Credentialing &pr, as its authorized official.

NPPES Registry Identity

NPI1811682628
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFL SPECIALTY DENTAL SERVICES, PLLC
Location Address2808 ENTERPRISE RD STE 102Debary, FL 32713-2753
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (504) 638-0303
Phone(386) 668-7776
Organization SubpartNo
Authorized OfficialCharlotte DaschDirector Of Credentialing &pr · (504) 638-0303
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1811682628 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.
2808 ENTERPRISE RD STE 102, Debary, FL 32713
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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

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 Fl Specialty Dental Services, PLLC's NPI number?

The NPI number for Fl Specialty Dental Services, PLLC is 1811682628. It was assigned to this organization in the NPPES registry on April 7, 2023.

Where is Fl Specialty Dental Services, PLLC located?

Fl Specialty Dental Services, PLLC is located at 2808 Enterprise Rd Ste 102, Debary, FL 32713. The listed phone number is (386) 668-7776.

What is Fl Specialty Dental Services, PLLC'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 Fl Specialty Dental Services, PLLC was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.