NPIMap

Organization Active NPI

Hamlin Modern Dentistry, LLC

  • Dentist
  • Winter Garden, FL
National Provider Identifier
1972116044
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HAMLIN MODERN DENTISTRY, LLC
Practice address
15820 Shaddock Drive
Suite 160
Winter Garden, FL 34787
Phone
(407) 993-6370
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Janisha Patel, DMDNPI 1740689371
Title
Manager
Phone
(407) 256-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

15820 Shaddock Drive
Suite 160
Winter Garden, FL 34787

Mailing address

16556 Olive Hill Dr
Winter Garden, FL 34787-9272

National Provider Directory

National Provider Directory

Locations

15820 Shaddock Dr
Ste 160
Winter Garden, FL 34787
Phone (407) 993-6370

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1972116044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16556 OLIVE HILL DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 SHADDOCK DRIVE",
            "address_2": "SUITE 160",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-993-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMLIN MODERN DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JANISHA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-256-2800",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.