Organization Active NPI

Seminole Dental Group, PLLC

  • General Practice Dentistry
  • Seminole, FL
National Provider Identifier
1497584882
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SEMINOLE DENTAL GROUP, PLLC
Practice address
13100 Park Blvd Ste D
Seminole, FL 33776-3539
Phone
(727) 513-8254
NPI assigned
Aug 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Dr. Arvind Philomin, DDS
Title
Owner
Phone
(917) 596-0260

Specialties & licenses 1

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

Addresses

Primary practice location

13100 Park Blvd Ste D
Seminole, FL 33776-3539

Mailing address

13100 Park Blvd Ste D
Seminole, FL 33776-3539
Phone (727) 513-8254

National Provider Directory

National Provider Directory

Locations

13100 Park Blvd
Ste D
Seminole, FL 33776
Phone (727) 391-9741

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1497584882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 PARK BLVD STE D",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337763539",
            "telephone_number": "727-513-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 PARK BLVD STE D",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337763539",
            "telephone_number": "727-513-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMINOLE DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "PHILOMIN",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-596-0260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.