Advanced Dental Care of Longwood PL

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ADVANCED DENTAL CARE OF LONGWOOD PL

Practice address

505 Wekiva Springs Rd
100
Longwood, FL 32779-6190

Phone

(407) 786-2552

NPI assigned

May 25, 2012

Last updated

May 25, 2012By 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

Mike Cole

Title

Insurance Director

Phone

(727) 726-1611

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.

• Daniel Travis Quevedo, DDS

  • General Practice Dentistry
  • Longwood, FL
  • NPI 1821092172
  NPD (past)

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1407116353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WEKIVA SPRINGS RD",
            "address_2": "100",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327796190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 WEKIVA SPRINGS RD",
            "address_2": "100",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327796190",
            "telephone_number": "407-786-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CARE OF LONGWOOD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winifred Adadzi III
• Jaclyn Adair, RBT
• Brittayne Meltonia Adams
• Adrianne N Hauff, DC, P.a.
• Advanced Analgesia and Anesthesia, Inc
• Advanced Interventional Pain Clinic, LLC.
• Advanced RX Derm LLC (Advanced Rx Pharmacy 027)
• Adventist Health System/Sunbelt, Inc. (AdventHealth Centra Care - Longwood)
• Maaria Ahmad
• Mozhgan Ahmadi Afshari, APRN

• Dentist in Longwood, FL
• Providers in Longwood, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.