Classic Dental at Maitland LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN11075 Issued in FL

Legal business name

CLASSIC DENTAL AT MAITLAND LLC

Practice address

158 Lookout PL
Suite #101
Maitland, FL 32751-4411

Phone

(407) 682-7774

Fax

(407) 628-5651

NPI assigned

Jun 27, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ceasar M. Garcia, DMD

Title

Partner/President

Phone

(407) 302-7774

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charmaine Ivette Ortiz, D.M.D.

  • General Practice Dentistry
  • Altamonte Springs, FL
  • NPI 1841316767
  NPD (past)
• Mohammad Khairuz Zaman, BDS. MS

  • Prosthodontics
  • Maitland, FL
  • NPI 1114351392
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1871755124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 LOOKOUT PL",
            "address_2": "SUITE #101",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514411",
            "telephone_number": "407-682-7774",
            "fax_number": "407-628-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 LOOKOUT PL",
            "address_2": "SUITE #101",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514411",
            "telephone_number": "407-682-7774",
            "fax_number": "407-628-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC DENTAL AT MAITLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CEASAR",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER/PRESIDENT",
        "authorized_official_telephone_number": "407-302-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaileen E Cintron, MSW
• City Beautiful Oral & Facial Surgery LLC
• City of Maitland
• Sandra Claridy-Simpson
• Brittany Clark, CAA
• Orville Lawrence Clayton
• Jack Clement I
• Mindi Gale Clifton, OTR/L
• Taylor Leigh Cline
• CMG- New Season- St. Louis Metro Treatment Center

• Dentist in Maitland, FL
• Providers in Maitland, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.