Elena C Puig, DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN21934 Issued in FL

Legal business name

ELENA C PUIG, DMD, PA

Practice address

1600 Hillcrest St
Orlando, FL 32803-4810

Phone

(407) 895-5600

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Elena C Puig, D.M.D.NPI 1174676050

Title

Owner/Dentist

Phone

(407) 895-5600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dynamic Smile Design Doing business as

Locations

Practitioners 2

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

• Elena C Puig, D.M.D.

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1174676050
  NPD (past) Authorized official
• Reshma J Patel, DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1538525415
  NPD (past)

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1326580903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034810",
            "telephone_number": "407-895-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HILLCREST ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034810",
            "telephone_number": "407-895-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA C PUIG, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "PUIG",
        "authorized_official_first_name": "ELENA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "407-895-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174676050",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Elevate Integrated Health LLC
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• Elevate PCW FL LLC

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.