Organization Active NPI

Avant Dental Group LLC

  • Dental Clinic/Center
  • Kissimmee, FL
National Provider Identifier
1912627423
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AVANT DENTAL GROUP LLC
Practice address
100 Buenaventura Blvd
Kissimmee, FL 34743-4513
Phone
(786) 877-5515
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Margarita Norma Romero Quevedo, DDSNPI 1861866782
Title
Dentist
Phone
(786) 877-5515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

100 Buenaventura Blvd
Kissimmee, FL 34743-4513

Mailing address

9874 Magnolia Woods Blvd
Orlando, FL 32832-7902
Phone (786) 877-5515

National Provider Directory

National Provider Directory

Locations

2916 Vineland Rd
Kissimmee, FL 34746
Phone (407) 390-9113

100 Buenaventura Blvd
Kissimmee, FL 34743
Phone (407) 348-6042

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1912627423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9874 MAGNOLIA WOODS BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327902",
            "telephone_number": "786-877-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUENAVENTURA BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347434513",
            "telephone_number": "786-877-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "ROMERO QUEVEDO",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "NORMA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "786-877-5515",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.