Creative Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CREATIVE DENTAL LLC

Practice address

10231 E Colonial Dr
Orlando, FL 32817-4353

Phone

(407) 985-2885

Fax

(407) 985-2887

NPI assigned

Jun 28, 2019

Organization subpart

No

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

Authorized official

Name

Amer Alshareef, DDS

Title

Owner

Phone

(407) 831-1203

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1508427634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 MAITLAND AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327016834",
            "telephone_number": "407-831-1203",
            "fax_number": "407-831-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328174353",
            "telephone_number": "407-985-2885",
            "fax_number": "407-985-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "ALSHAREEF",
        "authorized_official_first_name": "AMER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-831-1203",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "97.68.191.58",
            "affiliation": "N",
            "endpointDescription": "dentrix",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dentrix",
            "address_1": "590 S Main St",
            "city": "Wildwood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347854832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dental Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.