West Orange Dental Group, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16856 Issued in FL

Legal business name

WEST ORANGE DENTAL GROUP, LLC

Practice address

217 N Kirkman Rd
Suite 3
Orlando, FL 32811-1186

Phone

(407) 290-9588

Fax

(407) 292-6190

NPI assigned

Mar 26, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Akinyinka Awosika

Title

Manager

Phone

(407) 290-9588

Specialties & licenses 1

Addresses

Other names 1

• All About Beautiful Smiles Other name

Locations

Practitioners 1

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

• Tejumade St Matthew-Daniels, DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1578721809
  NPD (past)

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1396087581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N KIRKMAN RD",
            "address_2": "SUITE 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111186",
            "telephone_number": "407-290-9588",
            "fax_number": "407-292-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N KIRKMAN RD",
            "address_2": "SUITE 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328111186",
            "telephone_number": "407-290-9588",
            "fax_number": "407-292-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ORANGE DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "AWOSIKA",
        "authorized_official_first_name": "AKINYINKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-290-9588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Beautiful Smiles",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• West Colonial Urgent Care
• West Landing Chiropractic Care, LLC
• West Oak Chiropractic Care, LLC.
• West Orange County Pediatrics
• West Orange Dental Group LLC
• West Orange Maitland Dialysis Center LLC (Fresenius Kidney Care Maitland)
• West Orange Orlando Dialysis Center, LLC (Fresenius Kidney Care South Orlando)
• West Orange Speech Pathologist Inc.
• West Orange Speech Pathologist, Inc.
• West Orange Wellness LLC

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, 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 27, 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.