Mark Dreyer, D.M.D. P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARK DREYER, D.M.D. P.A.

Practice address

909 N Central Ave
Kissimmee, FL 34741-5029

Phone

(407) 933-0885

Fax

(407) 933-0520

NPI assigned

Dec 6, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Celia Pakula

Title

Admin/Team Support

Phone

(407) 713-5785

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1083325583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415029",
            "telephone_number": "407-933-0885",
            "fax_number": "407-933-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415029",
            "telephone_number": "407-933-0885",
            "fax_number": "407-933-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DREYER, D.M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "PAKULA",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "ADMIN/TEAM SUPPORT",
        "authorized_official_telephone_number": "407-713-5785"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.orlandonopainendodontics.com/",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "909 N Central Ave",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347415029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dental Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.