PEDIATRIC DENTAL GROUP (NPI# 1376946244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376946244 |
Entity Type | Organization |
Organization Name | PEDIATRIC DENTAL GROUP |
Other Organization Name | PEDIATRIC DENTAL GROUP WINTER PARK |
Practice Address |
5518 Lake Howell Rd Winter Park FL 32792-1036 |
Practice Telephone | 4077377767 |
Practice Fax Number | 4077370769 |
Mailing Telephone | 4077377767 |
Mailing Fax Number | 4077370769 |
Enumeration Date | 2014-10-06 |
Last Update Date | 2014-10-06 |
Authorized Official Name | OLUBISI AINA (OWNER) |
Authorized Official Telephone | 4077377767 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
FL | Dental Providers |
Other Name | Type Code |
---|---|
Pediatric Dental Group Winter Park | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447700497 | Pediatric Dental Group | Point of Service | 38 Sw Cutoff, Northborough, MA 01532-2159 | 2016-10-13 |
1972770097 | Pediatric Dental Group | Dentist | 5415 Sw Westgate Dr, Suite 207, Portland, OR 97221-2409 | 2008-05-08 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Pediatric Dental Group at Kids First, PC | 96 Wadsworth Blvd., Suite B, Lakewood, CO 80226 |
Colorado Business Entities | Pediatric Dental Group of Arvada, PC | 7975 Allison Way, Arvada, CO 80005 |
Colorado Business Entities | Pediatric Dental Group of Colorado, PLLC | 7975 Allison Way, Arvada, CO 80005 |
Colorado Business Entities | Pediatric Dental Group of Lakewood, PC | 3333 W. Wadsworth Blvd, #b104, Lakewood, CO 80227 |
Colorado Business Entities | Pediatric Dental Group of Summit County, PC | 360 Peak One Dr, Frisco, CO 80443 |
Colorado Business Entities | Pediatric Dental Group of Wheat Ridge, PC | Medical Office Building Iv, 3555 Lutheran Parkway, Suite 310, Wheat Ridge, CO 80033 |
Oklahoma Business Registrations | PEDIATRIC DENTAL GROUP, LLC | 602 S Utica, Tulsa, OK 74104 |
Street Address |
5518 LAKE HOWELL RD |
City | WINTER PARK |
State | FL |
Zip Code | 32792-1036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801299177 | Irwine Sainvil | Dentist | 5518 Lake Howell Rd, Winter Park, FL 32792-1036 | 2014-10-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647589 | Interim Personal Care Services, LLC | Home Health | 1890 State Road 436, Suite 355, Winter Park, FL 32792 | 2020-07-23 |
1710510649 | Chrisline Badio | Clinic/Center | 3040 Aloma Ave Apt J12, Winter Park, FL 32792 | 2020-02-19 |
1679112411 | The Local Health Council of East Central Florida, Inc. | Voluntary or Charitable | 5931 Brick Court, Suite 164, Winter Park, FL 32792 | 2019-12-26 |
1710534201 | Robert Scott Hughes | Occupational Therapy Assistant | 925 South Semoran Blvd, #110a, Winter Park, FL 32792 | 2019-08-20 |
1164077962 | Dentists of Winter Park, Pa | Dentist | 1973 Aloma Avenue, Winter Park, FL 32792 | 2019-08-08 |
1659938637 | Adventist Health System/sunbelt Inc Dba Adventhealth Orlando | Pharmacy | 2005 Mizell Avenue, Suite 900, Winter Park, FL 32792 | 2019-05-24 |
1104397801 | Jose M Martinez Rivera | Chiropractor | 471 N Semoran Blvd., Suite B, Orlando, FL 32792 | 2018-12-07 |
1750875720 | Andrea Nalborczyk | Student in an Organized Health Care Education/Training Program | 133 Benmore Dr #200, Winter Park, FL 32792 | 2018-06-21 |
1841787157 | Rd Health Diagnostic LLC | Clinical Medical Laboratory | 6904 Aloma Ave, Winter Park, FL 32792 | 2018-04-23 |
1548763006 | Daniel Remington Geer | Hearing Instrument Specialist | 7007 University Blvd, Winter Park, FL 32792 | 2018-03-12 |
Find all providers in zip 32792 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619206752 | Alberto Noguera | Dentist | 501 N Orlando Ave Ste 233, Winter Park, FL 32789-2947 | 2009-12-21 |
1912480963 | Pediatric Dentistry of Winter Park | Dentist | 2001 Lee Rd Ste A, Winter Park, FL 32789-1871 | 2018-09-14 |
1114333143 | Juliana Andrea Iral Pineda | Dentist | 501 N Orlando Ave Ste 233, Winter Park, FL 32789-2947 | 2014-07-10 |
1356570956 | Vincent Luen Yee Yeung | Dentist | 3727 N Goldenrod Rd Ste 108, Winter Park, FL 32792-8611 | 2009-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073113296 | Pediatric Dental Center of Gardens Inc | Dentist | 18244 Nw 27th Ave, Miami Gardens, FL 33056-3501 | 2020-10-27 |
1205446598 | Harp Pediatric Dentistry | Dentist | 31067 Us Highway 19 N, Palm Harbor, FL 34684-4416 | 2020-08-03 |
1043829377 | Little Champions Pediatric Dentistry | Dentist | 1330 Sw 22nd St Ste 406, Miami, FL 33145-2945 | 2020-07-22 |
1710595509 | Bright Smiles Pediatric Dentistry Nassau LLC | Dentist | 960135 Gateway Blvd, Fernandina Beach, FL 32034-9120 | 2020-07-17 |
1578180097 | Juliana Grace Fitzgerald | Dentist | 7505 Grand Lely Dr Bldg 1, Naples, FL 34113-1753 | 2020-06-30 |
1861012569 | Toni-marie Small | Dentist | 12625 76th Rd N, West Palm Beach, FL 33412-2259 | 2020-04-22 |
1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
1114573086 | Kids Dentist LLC | Dentist | 8058 W Mcnab Rd, North Lauderdale, FL 33068-4254 | 2019-08-15 |
1558915157 | Dentistry for Children of Florida, Pllc | Dentist | 3021 Airport Rd N Ste 203, Naples, FL 34105-3077 | 2019-07-31 |
1528620937 | Catherine Jane Graham | Dentist | 1395 Center Dr Rm D11-6, Gainesville, FL 32610-3006 | 2019-07-05 |
Find all providers with the same taxonomy |
City | WINTER PARK |
Zip Code | 32792 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.