United Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS025759L Issued in PA

Legal business name

UNITED DENTAL ASSOCIATES

Practice address

14713 Sugura Dr
Winter Garden, FL 34787-9336

Phone

(407) 238-5793

NPI assigned

Jun 12, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Light, DMD

Title

Ceo

Phone

(407) 238-5793

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1307836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307836800000",
    "number": "1588959159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14713 SUGURA DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879336",
            "telephone_number": "407-238-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14713 SUGURA DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879336",
            "telephone_number": "407-238-5793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-12",
        "last_updated": "2011-06-12",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-238-5793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025759L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifeyinwa Nwando Umeh, M.D.
• Uwaezu Joy Umeh, NP
• Unified Rehabilitation PLLC
• United Cerebral Palsy of Central Florida, Inc.
• United Cerebral Palsy of Central Florida, Inc.
• Joshua Unum, DPT
• Uong Eye Care PA
• Sokonviset Uong, O.D.
• Upperline Healthcare, PC
• Upperline Healthcare, PC

• General Practice Dentistry in Winter Garden, FL
• Providers in Winter Garden, 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 Jun 12, 2011; 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.