Hunters Creek Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HUNTERS CREEK DENTISTRY PLLC

Practice address

14009 Egret Tower Dr
Orlando, FL 32837-6197

Phone

(407) 251-5100

NPI assigned

Feb 18, 2021

Last updated

Feb 18, 2021By 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

Mr. Peter Kelly

Title

Owner

Phone

(410) 410-3031

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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.

• Alfredo Mallare Gapuz,Jr., D.M.D.

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1043438971
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1861085094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14009 EGRET TOWER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376197",
            "telephone_number": "407-251-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14009 EGRET TOWER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376197",
            "telephone_number": "407-251-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTERS CREEK DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-410-3031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN19430",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.amgsmile.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "14009 Egret Tower Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328376197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natalie Fiona Hunter, APRN
• Rachel Marie Hunter, CRNA
• Shannon McDonnell Hunter, MSPT
• Thomas Duval Hunter, DDS
• Hunter's Creek Urgent Care Center
• Hunters Creek Injury
• Lunie Huntington, APRN
• Aupala Shannon Huq, APRN
• Pamela Joy Huraj
• Girma Biru Huresae, RPH

• 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 Feb 18, 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.