Organization Active NPI

Gem Dental PLLC

  • Dental Clinic/Center
  • Longwood, FL
National Provider Identifier
1275481079
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GEM DENTAL PLLC
Practice address
1060 W State Road 434 Ste 148
Longwood, FL 32750-4954
Phone
(407) 960-1414
NPI assigned
Mar 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Authorized official

Name
Dr. Ayman Atallah, DDSNPI 1275972390
Title
Dentist
Phone
(904) 704-7547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1060 W State Road 434 Ste 148
Longwood, FL 32750-4954

Mailing address

1060 W State Road 434 Ste 148
Longwood, FL 32750-4954
Phone (407) 960-1414

National Provider Directory

National Provider Directory

Locations

1060 W State Road 434
Ste 148
Longwood, FL 32750
Phone (407) 332-8110

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1275481079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W STATE ROAD 434 STE 148",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504954",
            "telephone_number": "407-960-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W STATE ROAD 434 STE 148",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504954",
            "telephone_number": "407-960-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-18",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "ATALLAH",
        "authorized_official_first_name": "AYMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-704-7547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.