Preventive Dentistry for Children PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN 17035 Issued in FL

Legal business name

PREVENTIVE DENTISTRY FOR CHILDREN PA

Doing business as

Preventive Dentistry for Children

Practice address

9713 Overseas Hwy
Marathon, FL 33050-3342

Phone

(305) 743-4670

Fax

(305) 743-4899

NPI assigned

May 16, 2007

Last updated

May 30, 2009By 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

Dr. Denise Marie-Jeanne Vedrenne-Rangel, DDSNPI 1942401773

Title

Owner

Phone

(305) 743-4670

Specialties & licenses 1

Addresses

Other names 1

• Preventive Dentistry for Children 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.

• Denise Marie Jeanne Vedrenne-Rangel, DDS, MS, MPH

  • Pediatric Dentistry
  • Marathon, FL
  • NPI 1942401773
  NPD (past) Authorized official

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243641600000",
    "number": "1952518557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9713 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503342",
            "telephone_number": "305-743-4670",
            "fax_number": "305-743-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9713 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503342",
            "telephone_number": "305-743-4670",
            "fax_number": "305-743-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE DENTISTRY FOR CHILDREN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-05-30",
        "status": "A",
        "authorized_official_last_name": "VEDRENNE-RANGEL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE-JEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-743-4670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN 17035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preventive Dentistry for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Florence Philipp, MSN, NP-C
• Michele Phillips, RN
• Lisa Poos
• Lacreashia Pope
• Nastassia Nasha Postell, ARNP FNP-BC PMHNP-BC
• Pride Care Center Inc
• Robert Prosser
• Publix Super Markets Inc (Publix Pharmacy #0575)
• Qi by the Sea, Inc.
• Monica Quinn, R.N.

• Pediatric Dentistry in Marathon, FL
• Providers in Marathon, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2009; 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.