Ronald M Marini DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN8441 Issued in FL

Legal business name

RONALD M MARINI DMD PA

Practice address

2921 S Orlando Dr
Suite 146
Sanford, FL 32773-4103

Phone

(407) 322-9992

Fax

(407) 322-4415

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Michael Marini, D.M.D.

Title

President

Phone

(407) 322-9992

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Sanford Plaza Dental Center Doing business as

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1285773465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 STELLAR DR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659685",
            "telephone_number": "407-365-3817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 S ORLANDO DR",
            "address_2": "SUITE 146",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327734103",
            "telephone_number": "407-322-9992",
            "fax_number": "407-322-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD M MARINI DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MARINI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-322-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMDENT HEALTHY KIDS",
            "identifier": "991268",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076031500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074986900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford Plaza Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Lynn Rodriguez, MSW
• Jasmine Rogers
• Justin Rojhani, CRPS
• Ivette Roman
• Marta Roman, BA
• Victor Manuel Roque, PTA
• Rebekkah Nicole Rosa
• Chris Rosado, MPT
• Stephanie Rosado, NP
• Candace Rose, LMHC

• General Practice Dentistry in Sanford, FL
• Providers in Sanford, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.