Active NPI
Classic Dental at Oviedo
- Dentist
- Oviedo, FL
National Provider Identifier
1184886442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN11075
- Legal business name
- CLASSIC DENTAL AT OVIEDO
- Practice address
- 2989 Alafaya Trail
Oviedo, FL 32765 - Phone
- (407) 695-7774
- Fax
- (407) 366-4339
- NPI assigned
- Jun 27, 2008
- 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
- Ceasar M. Garcia, D.M.D.
- Title
- Owner/Partner
- Phone
- (407) 302-7774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN11075 | FL | Primary |
Addresses
Primary practice location
2989 Alafaya Trail
Oviedo, FL 32765
Mailing address
2989 Alafaya Trail
Oviedo, FL 32765
Phone (407) 695-7774
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217548800000",
"number": "1184886442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2989 ALAFAYA TRAIL",
"city": "OVIEDO",
"state": "FL",
"postal_code": "32765",
"telephone_number": "407-695-7774",
"fax_number": "407-366-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2989 ALAFAYA TRAIL",
"city": "OVIEDO",
"state": "FL",
"postal_code": "32765",
"telephone_number": "407-695-7774",
"fax_number": "407-366-4339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLASSIC DENTAL AT OVIEDO",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-27",
"last_updated": "2008-08-01",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "CEASAR",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER/PARTNER",
"authorized_official_telephone_number": "407-302-7774",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": "DN11075",
"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 Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.