Active NPI
Central Florida Periodontics
- Dental Clinic/Center
- Winter Park, FL
National Provider Identifier
1821453846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- FL12549
- Legal business name
- CENTRAL FLORIDA PERIODONTICS
- Practice address
- 2295 Lee Rd
Winter Park, FL 32789-1889 - Phone
- (407) 647-2295
- NPI assigned
- Dec 17, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Jung
- Title
- Manger
- Phone
- (407) 647-2295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | FL12549 | FL | Primary |
Addresses
Primary practice location
2295 Lee Rd
Winter Park, FL 32789-1889
Mailing address
2295 Lee Rd
Winter Park, FL 32789-1889
Phone (407) 647-2295
National Provider Directory
National Provider DirectoryLocations
2295 Lee Rd
Winter Park, FL 32789
Phone (407) 647-2295
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Winter Park, FL
- NPI 1134241912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450310400000",
"number": "1821453846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 LEE RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891889",
"telephone_number": "407-647-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 LEE RD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327891889",
"telephone_number": "407-647-2295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL FLORIDA PERIODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-17",
"last_updated": "2015-12-17",
"status": "A",
"authorized_official_last_name": "JUNG",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "MANGER",
"authorized_official_telephone_number": "407-647-2295"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "FL",
"license": "FL12549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
- Central Florida Cardiothoracic Surgery PA
- Central Florida Communities Inc
- Central Florida Counseling Associates, Inc
- Central Florida Group Homes LLC
- Central Florida Institute of Chinese Medicine Inc
- Central Florida Psychiatric Associates, PA
- Central Florida Psychotherapy Associates
- Central Florida Surgical Associates PA
- Central Florida Wellness LLC
- Centralfloridapharmacyassn
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.