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KREATIVE DENTAL CARE PA
NPI 1861967333
Clinic/Center - Dental in Polk City, FL

Active since October 10, 2018
120 CARTER BLVD STE 7, POLK CITY, FL 33868(863) 984-0000 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kreative Dental Care Pa NPPES

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

KREATIVE DENTAL CARE PA (NPI 1861967333) is a healthcare organization registered as a dental in Polk City, Florida and active in the NPI registry since October 2018. The organization lists Yalice Mariely Cardona, President, as its authorized official.

NPPES Registry Identity

NPI1861967333
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKREATIVE DENTAL CARE PA
Location Address120 CARTER BLVD STE 7Polk City, FL 33868-8912
Mailing Address120 Carter Blvd Ste 7Polk City, FL 33868-8912 · (863) 984-0000
Phone(863) 984-0000
Organization SubpartNo
Authorized OfficialYalice Mariely CardonaPresident · (787) 552-2631
Enumeration DateOctober 10, 2018
✔ NPI 1861967333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
120 CARTER BLVD STE 7, Polk City, FL 33868
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Other Providers at the Same Location NPPES

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

JENNIFER PATRICIA RUEDA DMD
Dentist
120 CARTER BLVD STE 7
POLK CITY, FL 33868
Polk County (863) 984-0000

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 Kreative Dental Care PA's NPI number?

The NPI number for Kreative Dental Care PA is 1861967333. It was assigned to this organization in the NPPES registry on October 10, 2018.

Where is Kreative Dental Care PA located?

Kreative Dental Care PA is located at 120 Carter Blvd Ste 7, Polk City, FL 33868. The listed phone number is (863) 984-0000.

What is Kreative Dental Care PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kreative Dental Care PA was last updated on October 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.