Golden Eagle Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GOLDEN EAGLE DENTISTRY PLLC

Practice address

2438 US Highway 27
Clermont, FL 34714

Phone

(352) 995-9915

NPI assigned

Jan 20, 2026

Last updated

Jan 20, 2026By 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

Peter Kelly

Title

Owner

Phone

(407) 432-6224

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1841159373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 US HIGHWAY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 US HIGHWAY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34714",
            "telephone_number": "352-995-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN EAGLE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-432-6224"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley C Glover, MD
• Anthony Glynn
• Grant J Godsey
• Cynthia Nicole Goepfert, ARNP
• Andron Gokool, OTR/L
• Golden Gateway Corp
• Amy Jo Gomes, R.P.T.
• Alis Valeria Gomez Tovar, RBT
• Elizabeth Marie Gomez, OTR/L
• Madeline Gomez, MED

• Dental Clinic/Center in Clermont, FL
• Providers in Clermont, 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 Jan 20, 2026; 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.