Active NPI
Premier Dental Team, PLLC
Doing business as Premier Dental Team
- Dental Clinic/Center
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DN19866
- Legal business name
- PREMIER DENTAL TEAM, PLLC
- Doing business as
- Premier Dental Team
- Practice address
- 3720 NW 43Rd St
Suite 102
Gainesville, FL 32606-6190 - Phone
- (352) 372-3600
- NPI assigned
- Feb 4, 2014
- Last updated
- Feb 4, 2014
- 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
- Ada Yojana Parra, DDS, MS
- Title
- Manager
- Phone
- (352) 372-3600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN19866 | FL | Primary |
Addresses
Primary practice location
3720 NW 43Rd St
Suite 102
Gainesville, FL 32606-6190
Mailing address
3720 NW 43Rd St
Suite 102
Gainesville, FL 32606-6190
Phone (352) 372-3600
Other names 1
- Premier Dental Team
National Provider Directory
National Provider DirectoryLocations
3720 NW 43rd St
Ste 102
Gainesville, FL 32606
Phone (352) 372-3600
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.
-
- Prosthodontics
- Gainesville, FL
- NPI 1699054312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391472000000",
"number": "1265855746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3720 NW 43RD ST",
"address_2": "SUITE 102",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066190",
"telephone_number": "352-372-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 NW 43RD ST",
"address_2": "SUITE 102",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326066190",
"telephone_number": "352-372-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER DENTAL TEAM, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-04",
"last_updated": "2014-02-04",
"status": "A",
"authorized_official_last_name": "PARRA",
"authorized_official_first_name": "ADA",
"authorized_official_middle_name": "YOJANA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "352-372-3600",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "FL",
"license": "DN19866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Premier Dental Team",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gainesville, FL
- Precision Care Pharmacy Services Inc (PrecisionCare Pharmacy Services)
- Larry D Precure
- Precyse Coding Solutions LLC (PCS Medical Staffing)
- Irina Prelipcean, M.D.
- Premier Auto Injury and Chiropractic, LLC.
- Premier Services Medcenter Inc
- Premise Health of Florida Medical PA (Alachua County)
- Nicole Danielle Premo, MD
- Ramon V Prendes, RRT
- Mattie President, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.