PRIME PEDIATRIC DENTAL GROUP PA
NPI 1811713019
Dentist - Pediatric Dentistry in Palm Springs, FL

Q: What is Prime Pediatric Dental Group PA's NPI number?

The NPI number for Prime Pediatric Dental Group PA is 1811713019. It was assigned to this organization in the NPPES registry on December 3, 2024.

Q: 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.

Active since December 03, 2024

3401 S CONGRESS AVE STE 206, PALM SPRINGS, FL 33461(305) 251-5390 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1811713019) is a healthcare organization registered as a pediatric dentistry in Palm Springs, Florida and active in the NPI registry since December 2024. The organization lists Jose Mellado, President, as its authorized official.

NPPES Registry Identity

NPI1811713019

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePRIME PEDIATRIC DENTAL GROUP PA

Location Address3401 S CONGRESS AVE STE 206Palm Springs, FL 33461-3066

Mailing Address13757 Sw 152nd StMiami, FL 33177-8125 · (305) 251-5390

Phone(305) 251-5390

Organization SubpartNo

Authorized OfficialJose MelladoPresident · (305) 321-3790

Enumeration DateDecember 3, 2024

NPPES CertifiedDecember 3, 2024

✔ NPI 1811713019 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.

3401 S CONGRESS AVE STE 206, Palm Springs, FL 33461

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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

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.

DIANORIS LORA

Dentist

3401 S CONGRESS AVE STE 206
PALM SPRINGS, FL 33461

Palm Beach County (561) 366-2222

KYLE PETTERSEN DDS

Dentist (General Practice)

3401 S CONGRESS AVE STE 206
PALM SPRINGS, FL 33461

Palm Beach County (561) 366-2222

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 1811713019. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Prime Pediatric Dental Group PA located?

Prime Pediatric Dental Group PA is located at 3401 S Congress Ave Ste 206, Palm Springs, FL 33461. The listed phone number is (305) 251-5390.

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 December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.