NPIMap

Organization Active NPI

Florida Dental Team, LLC

  • Pediatric Dentistry
  • Orlando, FL
National Provider Identifier
1639675028
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FLORIDA DENTAL TEAM, LLC
Practice address
1000 Woodcock Rd Ste 120
Orlando, FL 32803
Phone
(717) 759-4375
NPI assigned
Apr 4, 2018
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Juan OjedaNPI 1861786949
Title
Owner
Phone
(407) 797-1543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

1000 Woodcock Rd Ste 120
Orlando, FL 32803

Mailing address

9709 Lakeside Blvd Ste 350
Spring, TX 77381-1213
Phone (713) 489-2198

Other practice location 1

10909 W Linebaugh Ave Ste 102
Tampa, FL 33626-1741
Phone (813) 498-2629

Other practice location 2

7867 N Kendall Dr Ste 135
Miami, FL 33156-7736
Phone (717) 759-4375

Other practice location 3

4650 N Dixie Hwy
Oakland Park, FL 33334-3925
Phone (717) 759-4375

Other practice location 4

1549 Airport Blvd Ste 420
Pensacola, FL 32504-8634
Phone (850) 876-6724

National Provider Directory

National Provider Directory
Tax ID family
Florida Dental Team LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10909 W Linebaugh Ave
Ste 102
Tampa, FL 33626
Phone (813) 498-2629

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1639675028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 LAKESIDE BLVD STE 350",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773811213",
            "telephone_number": "713-489-2198",
            "fax_number": "713-489-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WOODCOCK RD STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32803",
            "telephone_number": "717-759-4375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10909 W Linebaugh Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336261741",
            "country_code": "US",
            "telephone_number": "813-498-2629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7867 N Kendall Dr Ste 135",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331567736",
            "country_code": "US",
            "telephone_number": "717-759-4375",
            "fax_number": "717-759-4336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4650 N Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Oakland Park",
            "state": "FL",
            "postal_code": "333343925",
            "country_code": "US",
            "telephone_number": "717-759-4375",
            "fax_number": "717-759-4336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 Airport Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048634",
            "country_code": "US",
            "telephone_number": "850-876-6724",
            "fax_number": "850-378-1082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA DENTAL TEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "OJEDA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-797-1543"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "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 Jan 27, 2025; 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.