South Orlando Dental PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN6106 Issued in FL

Legal business name

SOUTH ORLANDO DENTAL PA

Practice address

7221 Chancery LN
Orlando, FL 32809-7039

Phone

(407) 855-0474

Fax

(407) 855-0197

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth E Pyle, DDS

Title

Dental Director

Phone

(407) 330-3801

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205955853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 CHANCERY LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097039",
            "telephone_number": "407-855-0474",
            "fax_number": "407-855-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 CHANCERY LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097039",
            "telephone_number": "407-855-0474",
            "fax_number": "407-855-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ORLANDO DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PYLE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "407-330-3801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN6106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South East Great Health Care Solutions LLC
• South Familia Dental PA
• South Familia Dental PA
• South Orlando Chiropractic & Injury Center
• South Orlando Dental Center
• South Orlando Family Practice & Medical Injury Center LLC
• South Orlando OBGYN and Pediatrics
• South Orlando Pediatrics PLLC
• South Rehabilitation Center, Inc.
• Stacy Southall, RN

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• 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.

Verify at the official NPI Registry.