Advanced Esthetic Dentistry, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN16710 Issued in FL

Legal business name

ADVANCED ESTHETIC DENTISTRY, PA

Practice address

6001 Vineland Rd Ste 119
Orlando, FL 32819-7829

Phone

(407) 352-6001

Fax

(407) 351-6001

NPI assigned

Mar 8, 2018

Last updated

Mar 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ross Tanner Enfinger, DMD

Title

Owner/Dentist

Phone

(407) 352-6001

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Frank Michael Addabbo, D.D.S.

  • Dentist
  • Orlando, FL
  • NPI 1336360692
  NPD (past)
• Peter Villadiego, DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1649692104
  NPD (past)

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1740782408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD STE 119",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "407-352-6001",
            "fax_number": "407-351-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 VINELAND RD STE 119",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197829",
            "telephone_number": "407-352-6001",
            "fax_number": "407-351-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ESTHETIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "ENFINGER",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "TANNER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "407-352-6001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN16710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 8, 2018; 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.