Active NPI
Artistic Center for Dentistry, Inc.
- General Practice Dentistry
- Port Orange, FL
National Provider Identifier
1184763450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ARTISTIC CENTER FOR DENTISTRY, INC.
- Practice address
- 5820 S Williamson Blvd
Suite #1
Port Orange, FL 32128-6400 - Phone
- (386) 760-0366
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cathleen Diem Luong, DMD
- Title
- Dentist
- Phone
- (386) 760-0366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | FL | Primary |
Addresses
Primary practice location
5820 S Williamson Blvd
Suite #1
Port Orange, FL 32128-6400
Mailing address
5820 S Williamson Blvd
Suite #1
Port Orange, FL 32128-6400
Phone (386) 760-0366
National Provider Directory
National Provider DirectoryLocations
5820 S Williamson Blvd
Ste 1
Port Orange, FL 32128
Phone (386) 760-0366
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Port Orange, FL
- NPI 1720138233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1184763450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 S WILLIAMSON BLVD",
"address_2": "SUITE #1",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321286400",
"telephone_number": "386-760-0366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 S WILLIAMSON BLVD",
"address_2": "SUITE #1",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321286400",
"telephone_number": "386-760-0366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARTISTIC CENTER FOR DENTISTRY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LUONG",
"authorized_official_first_name": "CATHLEEN",
"authorized_official_middle_name": "DIEM",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "386-760-0366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orange, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.