Planes Dental Group, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PLANES DENTAL GROUP, LLC

Doing business as

PLANES DENTAL ARTS LAKE NONA, LLC
PLANES DENTAL ARTS OF PORT ST LUCIE PLLC
PLANES DENTAL ORLANDO, LLC5 more in Other names

Practice address

1500 SW Mapp Rd
Palm City, FL 34990-2446

Phone

(772) 231-6004

Fax

(772) 231-7249

NPI assigned

Dec 5, 2019

Organization subpart

No

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

Authorized official

Name

Ann T Petrone

Title

Revenue Cycle Manager

Phone

(772) 800-6535

Specialties & licenses 1

Addresses

Other names 9

• PLANES DENTAL ARTS LAKE NONA, LLC Doing business as
• PLANES DENTAL ARTS OF PORT ST LUCIE PLLC Doing business as
• PLANES DENTAL ORLANDO, LLC Doing business as
• PLANES DENTAL PALM CITY LLC Doing business as
• Planes Dental Arts PLLC Doing business as
• Planes Dental Management, LLC Doing business as
• WINTER SPRINGS FAMILY DENTAL, P.A Doing business as
• West Delray Smiles Doing business as
• Planes Dental Group, LLC Other name

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1639716921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW MAPP RD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902446",
            "telephone_number": "772-800-6535",
            "fax_number": "772-210-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW MAPP RD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902446",
            "telephone_number": "772-231-6004",
            "fax_number": "772-231-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANES DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "PETRONE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "772-800-6535"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLANES DENTAL ARTS LAKE NONA, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PLANES DENTAL ARTS OF PORT ST LUCIE PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PLANES DENTAL ORLANDO, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PLANES DENTAL PALM CITY LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Planes Dental Arts PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Planes Dental Management, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WINTER SPRINGS FAMILY DENTAL, P.A",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Delray Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Planes Dental Group, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.