Organization Active NPI

Wolcott DMD

  • Public Health Dentistry
  • Orlando, FL
National Provider Identifier
1972394120
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
WOLCOTT DMD
Practice address
1405 S Hiawassee Rd
Orlando, FL 32835-5786
Phone
(407) 294-6009
NPI assigned
May 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Destiny Wolcott, DMDNPI 1952144529
Title
Owner
Phone
(321) 292-4058

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
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X Primary

Addresses

Primary practice location

1405 S Hiawassee Rd
Orlando, FL 32835-5786

Mailing address

550 Brickell St SE
Palm Bay, FL 32909-4471
Phone (321) 292-4058

National Provider Directory

National Provider Directory

Locations

1405 S Hiawassee Rd
Orlando, FL 32835
Phone (407) 294-6009

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": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1972394120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 BRICKELL ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329094471",
            "telephone_number": "321-292-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 S HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355786",
            "telephone_number": "407-294-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLCOTT DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "WOLCOTT",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-292-4058",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.