Destination Dental Group PC
NPI 1316759905 · General Practice Dentistry · Fort Lauderdale, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Destination Dental Group PC is a General Practice Dentistry organization in Fort Lauderdale, FL (NPI 1316759905).
Provider details
- NPI number
- 1316759905
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dan Kelsey, Cfo(616) 299-2692
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Destination Dental
Registry dates
- Enumerated
- 2025-01-22
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Frequently asked questions
- What is Destination Dental Group PC's NPI number?
- Destination Dental Group PC's National Provider Identifier (NPI) is 1316759905, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Destination Dental Group PC?
- Destination Dental Group PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Destination Dental Group PC located?
- Destination Dental Group PC's practice location on file with NPPES is 2455 E Sunrise Blvd Ste 1204, Fort Lauderdale, FL 33304-3115.
- What is Destination Dental Group PC's phone number?
- The practice phone number listed in the NPPES registry for Destination Dental Group PC is (616) 299-2692.
- Does Destination Dental Group PC accept Medicare?
- Destination Dental Group PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Destination Dental Group PC?
- The authorized official listed on Destination Dental Group PC's NPPES record is Dan Kelsey, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Destination Dental Group PC's NPI active?
- Yes — Destination Dental Group PC's NPI (1316759905) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.