Master Dental Associates, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MASTER DENTAL ASSOCIATES, LLC

Practice address

11140 W Colonial Dr Ste 7
Ocoee, FL 34761-3300

Phone

(407) 720-9944

NPI assigned

Apr 28, 2022

Organization subpart

Yes

Parent organization

MASTER DENTAL ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Orrett G. Kong

Title

General Manager

Phone

(407) 720-9944

Specialties & licenses 3

Addresses

Other names 1

• Master Dental & Orthodontics Doing business as

Part of

Master Dental Associates LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camille Rose, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Orlando, FL
  • NPI 1194960138
  NPD

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1780329342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 W COLONIAL DR STE 7",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613300",
            "telephone_number": "407-720-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 W COLONIAL DR STE 7",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613300",
            "telephone_number": "407-720-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTER DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MASTER DENTAL ASSOCIATES, LLC",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "ORRETT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "407-720-9944",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Master Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott David Marsel, MD
• Javier Ernesto Martinez, DDS, MS, PA
• Maurice Mascoe, MD
• Nicole Marie Massa Arroyo
• Robert Leon Masson, M.D.
• Matthew Jacob Mastrapa
• Victoria Isabel Matamoros, PA-C
• Eclena Matel
• Ronny Matews
• Krishsayi Mathanaruban, OD

• Orthodontics and Dentofacial Orthopedics Dentistry in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.