Pediatric Dentistry of Winter Park

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTISTRY OF WINTER PARK

Practice address

2001 Lee Rd Ste a
Winter Park, FL 32789-1871

Phone

(407) 755-3136

NPI assigned

Sep 14, 2018

Organization subpart

No

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

Authorized official

Name

Allison Miller

Title

Owner

Phone

(407) 755-3136

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1912480963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PARK NORTH CT",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892552",
            "telephone_number": "407-252-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 LEE RD STE A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327891871",
            "telephone_number": "407-755-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF WINTER PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-755-3136"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonell Lynn Pearce, MSW
• Anna Priscilla Pearson, M.A., CF-SLP
• Tamela Pearson
• Laura Lea Peddie-Bravo, LMHC
• Pediatric Dental Group (Pediatric Dental Group Winter Park)
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Pediatric Skill Builders
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida Inc
• Pedro L. Ortega MD PA (Central Florida Primary Care)

• Pediatric Dentistry in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.