Dental Practice Group of Florida

Primary specialty

DentistTaxonomy code 122300000X

License

14545 Issued in FL

Legal business name

DENTAL PRACTICE GROUP OF FLORIDA

Practice address

8586 Eden Isles LN
Merritt Island, FL 32952-6800

Phone

(321) 412-3239

Fax

(321) 722-0994

NPI assigned

Aug 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Todd Edward Christie, D.M.D.

Title

Managing Partner

Phone

(321) 412-3239

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1346554391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8586 EDEN ISLES LN",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526800",
            "telephone_number": "321-412-3239",
            "fax_number": "321-722-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8586 EDEN ISLES LN",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526800",
            "telephone_number": "321-412-3239",
            "fax_number": "321-722-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PRACTICE GROUP OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "321-412-3239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "14545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizeth Rebeca Delgado, OD
• Michael Delk, M.D.
• Justene Delman, D.C.
• Sophia Demartino
• Angela Dennis, APRN
• Dental Specialists of Central Florida
• Elaine Deremer Cook, PE
• Anthony Devinney
• Lisa Lyn Devins, PHLEBOTOMIST
• Sharlene Diaz

• Dentist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.