VIVA DENTAL STUDIO – NPI #1346016250
Clinic/Center

VIVA DENTAL STUDIO is an AHC clinic located in DAVENPORT, FL. NPPES has assigned the NPI number 1346016250 to VIVA DENTAL STUDIO on December 01, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VIVA DENTAL STUDIO” is a dba name, the actual legal business name for this organization is BERRY DENTAL. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 2 years ago on Apr 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VIVA DENTAL STUDIO below.

NPI Profile for
BERRY DENTAL

NPI Number
1346016250
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BERRY DENTAL
Doing Business As (dba): VIVA DENTAL STUDIO
Primary location
2522 JACKS ROAD, UNIT #2A
DAVENPORT, FL 33897
Phone: (305) 910-6975 Fax:
Mailing address
9544 ROYAL ESTATES BLVD
ORLANDO, FL 32836-8896
Phone: (305) 910-6975 Fax:
Organization Subpart
No
Authorized Official
JULIANA CORREAL
GENERAL DENTIST
Phone: (305) 910-6975
Updated
Certification Date
Feb 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.