Altamonte Springs Dental Group PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ALTAMONTE SPRINGS DENTAL GROUP PA

Doing business as

Altamonte Springs Dental Group

Practice address

1001 N State Road 434 Ste 1010
Altamonte Springs, FL 32714-7038

Phone

(407) 545-5985

Fax

(407) 545-6616

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By 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

Minh Pham

Title

Owner/DDS

Phone

(407) 545-5985

Specialties & licenses 1

Addresses

Other names 1

• ALTAMONTE SPRINGS DENTAL GROUP Doing business as

Locations

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.

• Riddhi Shailesh Jani

  • Dentist
  • Altamonte Springs, FL
  • NPI 1518708395
  NPD (past)

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1942994488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753927038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N STATE ROAD 434 STE 1010",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147038",
            "telephone_number": "407-545-5985",
            "fax_number": "407-545-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAMONTE SPRINGS DENTAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "407-545-5985"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALTAMONTE SPRINGS DENTAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Altamonte OB GYN Assoc Clark & Perlstein MD PA
• Altamonte Oral & Maxillofacial Surgery LLC
• Altamonte Pediatric Associates
• Altamonte Pediatric Associates
• Altamonte Pediatric Associates
• Altamonte Springs Dental, PLLC
• Altamonte Springs Diagnostic Imaging Inc (Mid Florida Imaging)
• Altamonte Springs Injury Clinic LLC
• Altamonte Womens Center PA
• Alternative Speech and Swallowing Solutions, Inc

• Dentist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.