Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Medicaid Dentistry of Daytona LLC

Organization Dentist · NPI 1326470436

Medicaid Dentistry of Daytona LLC provides Dentist services 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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