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

Ormond Beach Dental Group

Organization Dentist · NPI 1124257175

Ormond Beach Dental Group is a Dentist in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009

Practice location Address checks out

802A Sterthaus Ave
Ormond Beach, FL 32174-5132
Phone: (877) 676-6631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN16350 (FL)

Record details

NPI number1124257175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerri Graham — Owner/ Dentist · (877) 676-6631
NPI enumeratedJuly 13, 2009
Last updated in NPPESNovember 8, 2013
Mailing address802a Sterthaus Ave, Ormond Beach, FL 32174-5132

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