Edc Management, L.L.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EDC MANAGEMENT, L.L.C.

Doing business as

Emergency Dental Care USA

Practice address

745 Orienta Ave
Ste. 1071
Altamonte Springs, FL 32701-5619

Phone

(407) 599-0071

NPI assigned

Jul 2, 2015

Last updated

Jul 2, 2015By 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

Michael ObengNPI 1104963172

Title

Manager

Phone

(402) 393-2726

Specialties & licenses 1

Addresses

Other names 1

• Emergency Dental Care USA Doing business as

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.

• Michael K Obeng, DDS

  • Dentist
  • Omaha, NE
  • NPI 1104963172
  Authorized official Same address or phone

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1952784340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S 143RD CIR",
            "address_2": "STE. 7",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681374516",
            "telephone_number": "402-393-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 ORIENTA AVE",
            "address_2": "STE. 1071",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015619",
            "telephone_number": "407-599-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDC MANAGEMENT, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-393-2726"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental Care USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Ann Ebberhart, BEHVAIORAL TECH
• Patricia Eberhardt, BCBA
• Jose J Echegaray, M.D.
• Walter D Echols Jr., LCSW
• Shane K. Eckels, DMD
• Eden Wellness Counseling LLC
• Jasiah Edmond, RBT
• Simone Edwards
• Taylor Edwards
• Edwin M Villalobos MD PA

• 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 Jul 2, 2015; 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.