Primera Family and Cosmetic Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18389 Issued in FL

Legal business name

PRIMERA FAMILY AND COSMETIC DENTISTRY LLC

Practice address

1045 Primera Blvd
Lake Mary, FL 32746-2178

Phone

(407) 512-5700

NPI assigned

Mar 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Amal Hamdi, DDS

Title

Owner

Phone

(407) 512-5700

Specialties & licenses 1

Addresses

Other names 1

• Primera Dental Doing business as

Locations

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1366973018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 PRIMERA BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462178",
            "telephone_number": "407-512-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 PRIMERA BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462178",
            "telephone_number": "407-512-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMERA FAMILY AND COSMETIC DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "HAMDI",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-512-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primera Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of Florida Medical PA
• Joleeyah Edsari Prewitt
• Victor James Prezioso, RNC CD
• Jesseica Jenae Price, PMHNP
• Primera Eye Care LLC
• Joe Louis Prince II, DPT
• Mirlene Principal, CCC-SLP
• Priority Healthcare Pharmacy Inc.
• Natalia Nada Priyadarshi, PHARMD
• Larry Alan Propst, DDS

• General Practice Dentistry in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.