Avalon Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN12941 Issued in FL

Legal business name

AVALON DENTAL, LLC

Practice address

101 Heavensgate Rd
E
Deland, FL 32720-1100

Phone

(386) 277-2860

NPI assigned

Oct 8, 2013

Last updated

Oct 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alfredo A Pairot, DDS

Title

President

Phone

(386) 277-2860

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Boules, DMD

  • Dentist
  • Deland, FL
  • NPI 1750792180
  NPD (past)

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1346677200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HEAVENSGATE RD",
            "address_2": "E",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327201100",
            "telephone_number": "386-277-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HEAVENSGATE RD",
            "address_2": "E",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327201100",
            "telephone_number": "386-277-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "PAIROT",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-277-2860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN12941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Athens Post Acute LLC
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• Michelle NMN Auguste, APRN
• Autumn French, LLC.
• Glenn Steven Avidon, M.D.
• Christine A Aziz, M.D.
• Ellen Pamela Babanin, M.S., NCC
• Shannon Formas Badger, FNP-C
• Oksana Bailey, DMD

• Dental Clinic/Center in Deland, FL
• Providers in Deland, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.