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 provides 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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