Pediatric Dental Specialists of Florida PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL SPECIALISTS OF FLORIDA PLLC

Practice address

3983 Destination Dr Unit 201
Osprey, FL 34229-9510

Phone

(928) 941-2714

NPI assigned

Apr 26, 2023

Last updated

Apr 26, 2023By 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. Robbie Harrell, DMDNPI 1780113944

Title

Owner

Phone

(928) 941-2714

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.

• Robbie Frank Harrell, DMD

  • Pediatric Dentistry
  • Panama City, FL
  • NPI 1780113944
  NPD Authorized official

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1396433512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 DESTINATION DR UNIT 201",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299510",
            "telephone_number": "928-941-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 DESTINATION DR UNIT 201",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299510",
            "telephone_number": "928-941-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL SPECIALISTS OF FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-941-2714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cassandra Patula, PA-C
• Elizabeth Grace Payne, M.A.
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• Jessica Perez-Cardwell, MD
• Randle Jordan Perez, PTA
• Jack Arthur Peverill, PH.D.
• Physical Therapy Doctors LLC
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• Pediatric Dentistry in Osprey, FL
• Providers in Osprey, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.