NPIMap

Organization Active NPI

Affordable Dentures & Implants - Florida, PLLC

  • Dentist
  • Orlando, FL
National Provider Identifier
1780357145
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - FLORIDA, PLLC
Practice address
12100 E Colonial Dr Ste 120
Orlando, FL 32826-4749
Phone
(689) 800-7352
NPI assigned
Jul 30, 2021
Last updated
Jul 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Charles Gillam
Title
Owner
Phone
(689) 800-7352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

12100 E Colonial Dr Ste 120
Orlando, FL 32826-4749

Mailing address

12100 E Colonial Dr Ste 120
Orlando, FL 32826-4749
Phone (689) 800-7352

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentures Implants - Florida PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1780357145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 E COLONIAL DR STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264749",
            "telephone_number": "689-800-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 E COLONIAL DR STE 120",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264749",
            "telephone_number": "689-800-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "GILLAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "689-800-7352"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "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 Jul 30, 2021; 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.