Elite Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16586 Issued in FL

Legal business name

ELITE DENTAL

Practice address

851 W State Road 436
1021
Altamonte Springs, FL 32714-3000

Phone

(407) 786-5559

Fax

(407) 786-5554

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Rodolfo Olmos, D.D.S.

Title

Dentist

Phone

(407) 786-5559

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Juliana P. Bermudez, D.D.S.

  • General Practice Dentistry
  • Altamonte Springs, FL
  • NPI 1306159165
  NPD (past)

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1942522073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 W STATE ROAD 436",
            "address_2": "1021",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143000",
            "telephone_number": "407-786-5559",
            "fax_number": "407-786-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 W STATE ROAD 436",
            "address_2": "1021",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143000",
            "telephone_number": "407-786-5559",
            "fax_number": "407-786-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "OLMOS",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-786-5559",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katera Bernicesteen Elam
• Mariam Eldeeb
• Elizabeth Victoria Elder, LMT, MMP
• Debra Eleser, MSW
• Elevate Chiropractic Inc
• Elite Endocrine and Metabolism Care LLC
• Elite Homemaker and Companion Services Inc.
• Elite Podiatry & Surgical Institute Inc
• Elite Senior Support Services LLC
• Elizabeth a. Thompson, O.D., P.a.

• General Practice Dentistry in Altamonte Springs, FL
• Providers in Altamonte Springs, 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 Feb 16, 2010; 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.