OrganizationActive
Prime Pediatric Dental Group PA
NPI 1316763519 · Pediatric Dentistry · Hollywood, FL
Prime Pediatric Dental Group PA is a Pediatric Dentistry organization in Hollywood, FL (NPI 1316763519).
Provider details
- NPI number
- 1316763519
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jose Mellado, President(305) 321-3790
Practice location
4919 Sheridan St Unit 50-51
Hollywood, FL 33021-2823
Phone: (305) 251-5390
Street-level locationGet directions
Mailing address
13757 Sw 152nd St
Miami, FL 33177-8125
Registry dates
- Enumerated
- 2024-12-03
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.