CREATIVE DENTAL LLC – NPI #1508427634
Clinic/Center

CREATIVE DENTAL LLC is an AHC clinic located in ORLANDO, FL. NPPES has assigned the NPI number 1508427634 to CREATIVE DENTAL LLC on June 28, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 7 years ago on Oct 14, 2019. 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 CREATIVE DENTAL LLC below.

NPI Profile for
CREATIVE DENTAL LLC

NPI Number
1508427634
Enumeration Date

(about 7 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
CREATIVE DENTAL LLC
Primary location
10231 E COLONIAL DR
ORLANDO, FL 32817-4353
Phone: (407) 985-2885 Fax: (407) 985-2887
Mailing address
604 MAITLAND AVE
ALTAMONTE SPRINGS, FL 32701-6834
Phone: (407) 831-1203 Fax: (407) 831-9716
Organization Subpart
No
Authorized Official
AMER ALSHAREEF
OWNER
Phone: (407) 831-1203
Updated
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)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
97.68.191.58
Endpoint type
CONNECT URL
Endpoint Description
DENTRIX
Content Type
OTHER
Affiliation
N
Endpoint Location
590 S MAIN ST,
WILDWOOD, FL 77025-1669