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PERIODONTAL ARTISTRY, PLLC
NPI 1861144214
Dentist - Periodontics in Rockledge, FL

Active since January 26, 2022
1281 FLORIDA AVE S, ROCKLEDGE, FL 32955(321) 632-3171 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Periodontal Artistry, Pllc NPPES

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

PERIODONTAL ARTISTRY, PLLC (NPI 1861144214) is a healthcare organization registered as a periodontics in Rockledge, Florida and active in the NPI registry since January 2022. The organization lists Mohamad Elazizi, Owner, as its authorized official.

NPPES Registry Identity

NPI1861144214
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL ARTISTRY, PLLC
Location Address1281 FLORIDA AVE SRockledge, FL 32955-2439
Mailing Address1281 Florida Ave SRockledge, FL 32955-2439 · (321) 632-3171
Phone(321) 632-3171
Organization SubpartNo
Authorized OfficialMohamad ElaziziOwner · (810) 624-9432
Enumeration DateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
✔ NPI 1861144214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
1281 FLORIDA AVE S, Rockledge, FL 32955
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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 2

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

DR. JAMES W. ANTOON D.M.D.
Dentist (Periodontics)
1281 FLORIDA AVE S
ROCKLEDGE, FL 32955
Brevard County (321) 632-3171
DR. MOHAMAD ELAZIZI BDS, MSC
Dentist (Periodontics)
1281 FLORIDA AVE S
ROCKLEDGE, FL 32955
Brevard County (321) 632-3171

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 Periodontal Artistry, PLLC's NPI number?

The NPI number for Periodontal Artistry, PLLC is 1861144214. It was assigned to this organization in the NPPES registry on January 26, 2022.

Where is Periodontal Artistry, PLLC located?

Periodontal Artistry, PLLC is located at 1281 Florida Ave S, Rockledge, FL 32955. The listed phone number is (321) 632-3171.

What is Periodontal Artistry, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontal Artistry, PLLC was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.