Organization Active NPI

Advantage Dental Oral Health Center of Florida, PA

  • Dentist
  • Wesley Chapel, FL
National Provider Identifier
1366364457
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA, PA
Practice address
27151 Halter Loop
Wesley Chapel, FL 33544
Phone
(850) 308-1600
NPI assigned
Jul 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Jacqueline Gould
Title
Associate Director, RCM Payor Relat
Phone
(760) 709-6099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

27151 Halter Loop
Wesley Chapel, FL 33544

Mailing address

PO Box 410042
Boston, MA 02241-0042
Phone (760) 709-6099

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1366364457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410042",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022410042",
            "telephone_number": "760-709-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27151 HALTER LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33544",
            "telephone_number": "850-308-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR, RCM PAYOR RELAT",
        "authorized_official_telephone_number": "760-709-6099"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.