Organization Active NPI

Central Florida Periodontics

  • Dental Clinic/Center
  • Winter Park, FL
National Provider Identifier
1821453846
Registry record updated Dec 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
FL12549 Issued in FL
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

Updated by the provider on Dec 17, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.