Florida Concierge Dental Care, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN17757 Issued in FL

Legal business name

FLORIDA CONCIERGE DENTAL CARE, P.A.

Doing business as

Orlando Lifestyle Dentistry

Practice address

6000 Turkey Lake Rd
#109
Orlando, FL 32819-4200

Phone

(407) 547-6453

NPI assigned

Mar 31, 2017

Last updated

Mar 31, 2017By 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

Michael Gagaoudakis, D.M.D.NPI 1326188038

Title

President

Phone

(954) 830-0030

Specialties & licenses 1

Addresses

Other names 1

• Orlando Lifestyle Dentistry Doing business as

Locations

Practitioners 1

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.

• Michael Emmanoul Gagaoudakis, D.M.D.

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1326188038
  NPD (past) Authorized official

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1821520693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD",
            "address_2": "#109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194200",
            "telephone_number": "407-547-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TURKEY LAKE RD",
            "address_2": "#109",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194200",
            "telephone_number": "407-547-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CONCIERGE DENTAL CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "GAGAOUDAKIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-830-0030",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN17757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orlando Lifestyle Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florida Center for Endocrinology PA
• Florida Center for Orthopaedic Inc (Florida Center for Orthopaedics)
• Florida Children's Center of Gastroenterology, LLC
• Florida Chiropractic Health Center
• Florida Chiropractic Health Center, LLC
• Florida Dental Team, LLC
• Florida Department of Health (Orange County Health Department)
• Florida Department of Health (Orange County Health Department)
• Florida Department of Veterans Affairs
• Florida Department of Veterans' Affairs (Alwyn C. Cashe State Veterans Nursing Home)

• 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 31, 2017; 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.