Central Florida Dental Care, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN 13227 Issued in FL

Legal business name

CENTRAL FLORIDA DENTAL CARE, LLC

Practice address

2390 W Old US Highway 441
Ste #2
Mount Dora, FL 32757-3534

Phone

(352) 383-3368

Fax

(352) 383-9865

NPI assigned

Jan 30, 2014

Organization subpart

No

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

Authorized official

Name

Sonia E Johary

Title

Office Manager

Phone

(352) 735-5255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1255754065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 W OLD 441 STE 1",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573534",
            "telephone_number": "352-735-5255",
            "fax_number": "352-383-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 W OLD US HIGHWAY 441",
            "address_2": "STE #2",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573534",
            "telephone_number": "352-383-3368",
            "fax_number": "352-383-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FLORIDA DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "JOHARY",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-735-5255"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 13227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Castle
• Catalyst Mental Health, GBC (Catalyst Mental Health, Inc)
• Heather Marie Cedeno
• Center for Diseases of the Kidney & Hypertension Inc
• Central Florida Anesthesia Solutions LLC
• Central Florida Home Health, LLC
• Central Florida Premier Eye Associates (Lake Eye Associates)
• Central Florida Regional Hospital, Inc. (HCA Florida Mount Dora ER, a department of HCA Florida Lake Monroe Hospital)
• Cesium Massage PLLC
• Aviles J Champion

• Dentist in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.