Premier Dental and Orthodontics of Port Charlotte

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PREMIER DENTAL AND ORTHODONTICS OF PORT CHARLOTTE

Practice address

970 Kings Hwy Unit 3
Port Charlotte, FL 33980-4213

Phone

(561) 420-1378

NPI assigned

Apr 30, 2025

Organization subpart

No

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

Authorized official

Name

Charity Slaughter

Title

Director of Operations

Phone

(561) 420-1378

Specialties & licenses 1

Addresses

Other names 1

• PREMIER DENTAL AND ORTHODONTICS OF PORT CHARLOTTE Doing business as

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1982492765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 KINGS HWY UNIT 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339804213",
            "telephone_number": "561-420-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 KINGS HWY UNIT 3",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339804213",
            "telephone_number": "561-420-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL AND ORTHODONTICS OF PORT CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "561-420-1378"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREMIER DENTAL AND ORTHODONTICS OF PORT CHARLOTTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chris Eric Potter, FNP-BC
• Kimberly Pouk
• Neil Garrett Powell Jr., MD
• Mark Prebonich, M.D.
• Precision Medical Imaging
• Premier Health Services PA
• Serge A Prescott, DDS
• Kimberly Presnell, APRN
• Amelia Adair Priede
• Primary Care 2 You LLC

• Dental Clinic/Center in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Dental Clinic/Center in Florida

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