Ata Dental Design LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN18559 Issued in FL

Legal business name

ATA DENTAL DESIGN LLC

Doing business as

Ata Dental Design

Practice address

13512 S. John Young Pkwy
Orlando, FL 32837-7659

Phone

(407) 857-6501

Fax

(863) 638-6935

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Adam Ata, DMD

Title

Dentist/Owner

Phone

(407) 857-6501

Specialties & licenses 1

Addresses

Other names 1

• Ata Dental Design Doing business as

Locations

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1417387556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 S. JOHN YOUNG PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377659",
            "telephone_number": "407-857-6501",
            "fax_number": "863-638-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13512 S. JOHN YOUNG PKWY",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377659",
            "telephone_number": "407-857-6501",
            "fax_number": "863-638-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATA DENTAL DESIGN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "ATA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "407-857-6501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ata Dental Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

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