Organization Active NPI

Park Dental LLC

  • Periodontics
  • Oviedo, FL
National Provider Identifier
1124849781
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PARK DENTAL LLC
Practice address
2584 W State Road 426 Unit 1020
Oviedo, FL 32765-7693
Phone
(407) 671-8901
Fax
(407) 677-6368
NPI assigned
Oct 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Dr. Haider Essmat Alramli, DDS
Title
Dentist
Phone
(407) 671-8901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

2584 W State Road 426 Unit 1020
Oviedo, FL 32765-7693

Mailing address

2584 W State Road 426 Unit 1020
Oviedo, FL 32765-7693
Phone (407) 671-8901

National Provider Directory

National Provider Directory

Locations

2584 W State Road 426
Unit 1020
Oviedo, FL 32765
Phone (407) 671-8901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1124849781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2584 W STATE ROAD 426 UNIT 1020",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657693",
            "telephone_number": "407-671-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2584 W STATE ROAD 426 UNIT 1020",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657693",
            "telephone_number": "407-671-8901",
            "fax_number": "407-677-6368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "ALRAMLI",
        "authorized_official_first_name": "HAIDER",
        "authorized_official_middle_name": "ESSMAT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-671-8901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.