Grace Dental, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN19152 Issued in FL

Legal business name

GRACE DENTAL, P.A.

Practice address

5979 Vineland Rd
Suite 205
Orlando, FL 32819-7800

Phone

(407) 351-3213

NPI assigned

May 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel Sangalang, DMD

Title

President

Phone

(312) 841-3414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367539200000",
    "number": "1699110783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD",
            "address_2": "SUITE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197800",
            "telephone_number": "407-351-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD",
            "address_2": "SUITE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197800",
            "telephone_number": "407-351-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2013-05-03",
        "status": "A",
        "authorized_official_last_name": "SANGALANG",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-841-3414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha-June Gozo, DPT
• Amy Leigh Graber, ARNP
• Kristina Ramona Grabnickas, N.P.
• Jamie Grabowski, CNM
• Grace & Growth Center
• Grace Eyecare LLC
• Grace Manor Ret Inc
• Grace Pharmspa, LLC
• Grace Villa Alf
• Grace Villa Facility LLC

• 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 May 3, 2013; 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.