Ideal Dental of Osceola Parkway PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IDEAL DENTAL OF OSCEOLA PARKWAY PLLC

Practice address

2713 W Osceola Parkway
Kissimmee, FL 34741

Phone

(407) 209-3010

Fax

(321) 677-7507

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Matthew Doan, DMD

Title

Owner

Phone

(972) 331-8079

Specialties & licenses 1

Addresses

Other names 1

• Ideal Dental - Kissimmee 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.

• Vera Ton, DMD

  • General Practice Dentistry
  • Kissimmee, FL
  • NPI 1003476623
  NPD

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1881285476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840925",
            "telephone_number": "972-361-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 W OSCEOLA PARKWAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-209-3010",
            "fax_number": "321-677-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL OF OSCEOLA PARKWAY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-331-8079",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ideal Dental - Kissimmee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yilka Paola Ibarra, TCM
• Ibck Special Needs Center, Inc.
• Mark Ibrahim
• Amanda Mercedes Icazatti-Burtell
• Ideal Choice Home Care, LLC
• Ideal Dental St Cloud PLLC
• Ideal Spine Centers LLC
• Ideal Spine Chiropractic Center
• Iglesia Bautista Central de Kissimmee, Inc.
• Iglesia Bautista Central de Kissimmee, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.