Active NPI
Ashton Dental Care PLLC
- Dental Clinic/Center
- St Could, FL
National Provider Identifier
1306701784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ASHTON DENTAL CARE PLLC
- Practice address
- 4990 E Irlo Bronson Highway
St Could, FL 34771 - Phone
- (689) 210-7210
- Fax
- (407) 574-4651
- NPI assigned
- Dec 18, 2025
- 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
- Peter Kelly
- Title
- Owner
- Phone
- (407) 432-6224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4990 E Irlo Bronson Highway
St Could, FL 34771
Mailing address
4990 E Irlo Bronson Highway
St Could, FL 34771
Phone (689) 210-7210
National Provider Directory
National Provider DirectoryLocations
4990 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771
Phone (689) 210-7210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766016000000",
"number": "1306701784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4990 E IRLO BRONSON HIGHWAY",
"city": "ST COULD",
"state": "FL",
"postal_code": "34771",
"telephone_number": "689-210-7210",
"fax_number": "407-574-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4990 E IRLO BRONSON HIGHWAY",
"city": "ST COULD",
"state": "FL",
"postal_code": "34771",
"telephone_number": "689-210-7210",
"fax_number": "407-574-4651"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHTON DENTAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-18",
"last_updated": "2025-12-18",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-432-6224"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.