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 1811713019

Prime Pediatric Dental Group PA provides Pediatric Dentistry in Palm Springs, 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

3401 S Congress Ave Ste 206
Palm Springs, FL 33461-3066
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 number1811713019
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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