Premier Dental Team, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN19866 Issued in FL

Legal business name

PREMIER DENTAL TEAM, PLLC

Practice address

3720 NW 43Rd St
Suite 102
Gainesville, FL 32606-6190

Phone

(352) 372-3600

NPI assigned

Feb 4, 2014

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• Premier Dental Team Doing business as

Locations

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"
        }
    ]
}

• Precision Care Pharmacy Services Inc
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• Irina Prelipcean, M.D.
• Premier Auto Injury and Chiropractic, LLC.
• Premier Services Medcenter Inc
• Premise Health of Florida Medical PA
• Nicole Danielle Premo, MD
• Ramon V Prendes, RRT
• Mattie President, PH.D.

• Dental Clinic/Center in Gainesville, FL
• Providers in Gainesville, 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 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.

Verify at the official NPI Registry.