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 1316763519

Prime Pediatric Dental Group PA is a Pediatric Dentistry in Hollywood, Florida. Registered with an NPI since 2024.

In the registry since
2024
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

4919 Sheridan St Unit 50-51
Hollywood, FL 33021-2823
Phone: (305) 251-5390
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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 number1316763519
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Mellado — President · (305) 321-3790
NPI enumeratedDecember 3, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address13757 Sw 152nd St, Miami, FL 33177-8125

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