The Smile Mission South Orlando PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE SMILE MISSION SOUTH ORLANDO PLLC

Practice address

8204 Crystal Clear LN Ste 700
Orlando, FL 32809-7755

Phone

(786) 701-8246

NPI assigned

Jul 3, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dustin Mark Pfundheller, DMDNPI 1538673207

Title

Manager

Phone

(786) 701-8246

Specialties & licenses 1

Addresses

Locations

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.

• Dustin Mark Pfundheller, DMD

  • Dentist
  • Miami, FL
  • NPI 1538673207
  Authorized official Same address or phone

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1245917939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SW 168TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 CRYSTAL CLEAR LN STE 700",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097755",
            "telephone_number": "786-701-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE MISSION SOUTH ORLANDO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "PFUNDHELLER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-701-8246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Phoenix Seniors Care LLC
• The Pieces Fit Interventions LLC (The Pieces Fit Interventions)
• The Preferece Group Home Agency, Inc
• The Ripple Effect, Inc.
• The Side Lyer Company LLC
• The Smile Mission West Orlando PLLC
• The Source of Americallc (the source d.a.g.)
• The Storybook Group LLC
• The Surgical Group of Orlando
• The Therapy Lab, LLC

• Dental Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.