Crown Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CROWN DENTISTRY LLC

Practice address

3217 Vineland Rd
Kissimmee, FL 34746-4907

Phone

(407) 655-4700

Fax

(407) 279-0740

NPI assigned

Jan 21, 2025

Last updated

Jan 21, 2025By 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

Mr. Manuel Gonzalez

Title

General Manager

Phone

(305) 512-4589

Specialties & licenses 1

Addresses

Other names 1

• Crown Dentistry Former legal business name

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.

• Lilian Gonzalez, D.D.S.

  • Dentist
  • Pembroke Pines, FL
  • NPI 1255436424
  NPD

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1952113631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 217",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184943",
            "telephone_number": "305-512-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 VINELAND RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464907",
            "telephone_number": "407-655-4700",
            "fax_number": "407-279-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "305-512-4589",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samira Zoe Crispin, BSW
• Becky Crockett, OD
• Ucilla Crooke
• Taylor Croteau, MD
• Roger Crouse, MD
• Crown Home Care Inc
• Melanie De la Caridad Cruz Gomez
• Cruz Homecare & Educational Services LLC
• Seydi Cruz Lopez
• Isabel Cristina Cruz Marrero

• Dentist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.