Clermont Periodontics and Implant Center PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

CLERMONT PERIODONTICS AND IMPLANT CENTER PLLC

Practice address

1381 Citrus Tower Blvd
Clermont, FL 34711-1957

Phone

(731) 313-0998

NPI assigned

Jul 1, 2024

Last updated

Jul 1, 2024By 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

Dr. Kerwin Omarre Scott, DDS, MS, CHPNPI 1629661020

Title

Owner

Phone

(731) 313-0998

Specialties & licenses 1

Addresses

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.

• Kerwin Omarre Scott, DDS

  • Periodontics
  • Gainesville, FL
  • NPI 1629661020
  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1891530895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17522 PROMENADE DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115894",
            "telephone_number": "731-313-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111957",
            "telephone_number": "731-313-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT PERIODONTICS AND IMPLANT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KERWIN",
        "authorized_official_middle_name": "OMARRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-313-0998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS, CHP"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clermont Neurologic and Chiropractic,LLC
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• Clermont Pediatric Dentistry, PLLC
• Clermont Pediatrics
• Clermont Pharmacy LLC (Clermont Pharmacy)
• Clermont Psychological Services
• Clermont Radiology LLC (Clermont Radiology-Kings Ridge)
• Clermont Radiology LLC
• Clermont Smiles Dentistry, PA (Clermont Smiles Dentistry)

• Periodontics in Clermont, FL
• Providers in Clermont, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.