CEDAR PEARL DENTAL, LLC
NPI 1902790348
Dentist - General Practice in Crestview, FL

Active since June 09, 2025
222 CEDAR AVE, CRESTVIEW, FL 32536(850) 682-2720 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cedar Pearl Dental, Llc NPPES

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

CEDAR PEARL DENTAL, LLC (NPI 1902790348) is a healthcare organization registered as a general practice in Crestview, Florida and active in the NPI registry since June 2025. The organization lists Daniel S White, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1902790348
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCEDAR PEARL DENTAL, LLC
Location Address222 CEDAR AVECrestview, FL 32536-2706
Mailing Address114 Wedgewood CtCrestview, FL 32536-8405 · (316) 323-8745
Organization SubpartNo
Authorized OfficialDaniel S WhiteSole Member · (316) 323-8745
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1902790348 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.
222 CEDAR AVE, Crestview, FL 32536

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 3

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

Dentist (General Practice)
222 CEDAR AVE
CRESTVIEW, FL 32536
Dentist
222 CEDAR AVE
CRESTVIEW, FL 32536
Dentist
222 CEDAR AVE
CRESTVIEW, FL 32536

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 Cedar Pearl Dental, LLC's NPI number?

The NPI number for Cedar Pearl Dental, LLC is 1902790348. It was assigned to this organization in the NPPES registry on June 9, 2025.

Where is Cedar Pearl Dental, LLC located?

Cedar Pearl Dental, LLC is located at 222 Cedar Ave, Crestview, FL 32536. The listed phone number is (850) 682-2720.

What is Cedar Pearl 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 Cedar Pearl Dental, LLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.