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

Prime Pediatric Dental Group PA

Organization Pediatric Dentistry · NPI 1760355325

Prime Pediatric Dental Group PA is a Pediatric Dentistry in Coral Springs, 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

9156 Wiles Rd
Coral Springs, FL 33067-1999
Phone: (954) 621-2115
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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 number1760355325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Delgado — Advisor · (904) 806-7080
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address13195 Biscayne Bay Dr, North Miami, FL 33181-2204

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