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

Prime Pediatric Dental Group PA

Organization Pediatric Dentistry · NPI 1306715263

Prime Pediatric Dental Group PA is a Pediatric Dentistry in Doral, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10717 NW 58th St
Doral, FL 33178-2801
Phone: (305) 513-4058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1306715263
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPrime Pediatric Dental Group PA
Authorized official Jose Delgado — Advisor · (904) 806-7080
NPI enumeratedOctober 30, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address10717 Nw 58th St, Doral, FL 33178-2801

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