Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medicaid Dentistry of Daytona LLC

Organization Dentist · NPI 1326470436

Medicaid Dentistry of Daytona LLC is a Dentist in Daytona Beach, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1021 S Ridgewood Ave
Daytona Beach, FL 32114
Phone: (386) 304-2677
Fax: (386) 304-1899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN13783 (FL)
Dentist Taxonomy 122300000X (FL)
Pediatric Dentistry Taxonomy 1223P0221X · Licence DN18742 (FL)

Record details

NPI number1326470436
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mubashir Chaudhry — Owner · (386) 304-2677
Other names Daytona Pediatric Dentistry; Daytona Pediatric Dentistry
NPI enumeratedJuly 31, 2013
Last updated in NPPESMay 21, 2018
Mailing address1021 South Ridgewood Ave, Daytona Beach, FL 32114

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