Front Street Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

014410 Issued in FL

Legal business name

FRONT STREET FAMILY DENTISTRY

Practice address

609 Front St
Celebration, FL 34747

Phone

(407) 566-1146

Fax

(407) 566-1715

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gary L Nelson Jr., DMD

Title

Owner

Phone

(407) 566-1146

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.

• Veronica L Rodriguez, DDS

  • Dentist
  • Celebration, FL
  • NPI 1396179990
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548314123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 FRONT ST",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "34747",
            "telephone_number": "407-566-1146",
            "fax_number": "407-566-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 FRONT ST",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "34747",
            "telephone_number": "407-566-1146",
            "fax_number": "407-566-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT STREET FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-566-1146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "014410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lee Freeman, RN, FNP
• William Freeman, PHARMD
• Eduardo Frei Morera, APRN
• Melinda Ann Frey, M.S., CCC-SLP
• Randy Friesel, M.S., CCC-SLP
• Gemma Llanos Furman
• FWC Perinatal, LLC
• FWC Perinatal, LLC
• FWC Urogynecology, LLC
• Jordan Leigh Galili, APRN

• General Practice Dentistry in Celebration, FL
• Providers in Celebration, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.