Organization Active NPI

Altamonte Dental Associates, Inc

  • General Practice Dentistry
  • Altamonte Springs, FL
National Provider Identifier
1285836916
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8741 Issued in FL
Legal business name
ALTAMONTE DENTAL ASSOCIATES, INC
Practice address
195 S Westmonte Dr Ste 1112
Altamonte Springs, FL 32714-4219
Phone
(407) 774-8834
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Fernando Oliver, DMDNPI 1790001022
Title
President
Phone
(407) 774-8834

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8741 FL Primary

Addresses

Primary practice location

195 S Westmonte Dr Ste 1112
Altamonte Springs, FL 32714-4219

Mailing address

195 S Westmonte Dr Ste 1112
Altamonte Springs, FL 32714-4219
Phone (407) 774-8834

National Provider Directory

National Provider Directory

Locations

195 S Westmonte Dr
Ste 1112
Altamonte Springs, FL 32714
Phone (407) 774-8834

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285836916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S WESTMONTE DR STE 1112",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144219",
            "telephone_number": "407-774-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S WESTMONTE DR STE 1112",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327144219",
            "telephone_number": "407-774-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE DENTAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-774-8834",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.