Mbco Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MBCO DENTAL PLLC

Practice address

1740 US Highway 27
Store #28
Clermont, FL 34714

Phone

(352) 269-1400

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Christian Ortiz, DMDNPI 1699141119

Title

Owner/Dentist

Phone

(352) 269-1400

Specialties & licenses 1

Addresses

Other names 1

• Clermont Family Dentistry South Doing business as

Locations

Practitioners 2

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

• Christian Righi Ortiz, D.D.S.

  • Dentist
  • Clermont, FL
  • NPI 1699141119
  NPD Authorized official
• Manfred Franz Buechele, D.M.D.

  • Dentist
  • Clermont, FL
  • NPI 1285894956

  General Practice

  NPD

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1922835461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 US HIGHWAY 27",
            "address_2": "STORE #28",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34714",
            "telephone_number": "352-269-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 US HIGHWAY 27",
            "address_2": "STORE #28",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34714",
            "telephone_number": "352-269-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBCO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "352-269-1400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clermont Family Dentistry South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Mayer
• Lindy Marie Mayer
• Jeremy Mayes, RBT
• Wendellenna Suesanna Mays, MD
• Kelly Mazzarella, LMT
• Marisa McAvoy
• Paul McConnell
• Roni McCoy
• Belinda Anne McCracken, BELINDA MCCRACKEN AP
• Kaitlynn McCroy, LMHC

• General Practice Dentistry in Clermont, FL
• Providers in Clermont, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.