PEDIATRIC DENTAL GROUP


Address: 5518 Lake Howell Rd, Winter Park, FL 32792-1036
Phone: 4077377767

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
FL Dental Providers

Other Provider/Organization Names

Other Name Type Code
Pediatric Dental Group Winter Park Doing Business As Name - Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 5518 LAKE HOWELL RD
City WINTER PARK
State FL
Zip Code 32792-1036

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801299177 Irwine Sainvil Dentist 5518 Lake Howell Rd, Winter Park, FL 32792-1036 2014-10-01

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WINTER PARK
Zip Code 32792

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Dataset Information

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.

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