NPIMap

Organization Active NPI

University Dental Group, PL

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1487835450
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UNIVERSITY DENTAL GROUP, PL
Practice address
4051 N Dean Rd
Orlando, FL 32817-3204
Phone
(407) 679-5151
Fax
(407) 679-2465
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Melissa K. Rosello, D.M.D.NPI 1366784068
Title
Managing Partner
Phone
(407) 679-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4051 N Dean Rd
Orlando, FL 32817-3204

Mailing address

4051 N Dean Rd
Orlando, FL 32817-3204
Phone (407) 679-5151

National Provider Directory

National Provider Directory

Locations

4051 N Dean Rd
Orlando, FL 32817
Phone (407) 679-5151

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1487835450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 N DEAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173204",
            "telephone_number": "407-679-5151",
            "fax_number": "407-679-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 N DEAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173204",
            "telephone_number": "407-679-5151",
            "fax_number": "407-679-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY DENTAL GROUP, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ROSELLO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "407-679-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.