NPIMap

Organization Active NPI

Aod Dental Clinic, Inc.

  • Dental Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1124441035
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN7784 Issued in FL
Legal business name
AOD DENTAL CLINIC, INC.
Practice address
1609 E Vine St
Kissimmee, FL 34744-3733
Phone
(407) 944-1319
Fax
(407) 944-1438
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Dr. Abel O. De Anna, D.M.D.
Title
President
Phone
(305) 222-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN7784 FL Primary

Addresses

Primary practice location

1609 E Vine St
Kissimmee, FL 34744-3733

Mailing address

2901 S Bayshore Dr
Unit 4F
Miami, FL 33133-6016
Phone (305) 222-1150

National Provider Directory

National Provider Directory
Tax ID family
Aod Dental Clinic Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1609 E Vine St
Kissimmee, FL 34744
Phone (407) 405-2675

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1124441035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S BAYSHORE DR",
            "address_2": "UNIT 4F",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336016",
            "telephone_number": "305-222-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 E VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443733",
            "telephone_number": "407-944-1319",
            "fax_number": "407-944-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AOD DENTAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "DE ANNA",
        "authorized_official_first_name": "ABEL",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-222-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN7784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.