ADVANCED DENTISTRY SOUTH FLORIDA SEPCIALISTS LLC
NPI 1003285339
Dentist - Oral and Maxillofacial Surgery in Delray Beach, FL

NPI Status: Active since September 16, 2015

Contact Information

15340 JOG RD STE 100
DELRAY BEACH, FL
ZIP 33446
Phone: (561) 495-2099

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • Accepts Insurance

About ADVANCED DENTISTRY SOUTH FLORIDA SEPCIALISTS LLC

This page provides the complete NPI Profile along with additional information for Advanced Dentistry South Florida Sepcialists Llc, a provider established in Delray Beach, Florida operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1003285339 assigned on September 2015. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Advanced Dentistry South Florida Sepcialists Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kelli Carter Staller (Practice Administrator)

NPI
1003285339
Provider Name
ADVANCED DENTISTRY SOUTH FLORIDA SEPCIALISTS LLC
Entity Type
Organization
Location Address
15340 JOG RD STE 100 DELRAY BEACH, FL 33446
Location Phone
(561) 495-2099
Mailing Address
15340 JOG RD STE 100 DELRAY BEACH, FL 33446
Mailing Phone
(561) 495-2099
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-16-2015
Last Update Date
09-16-2015
Code Navigator

A dentist like Advanced Dentistry South Florida Sepcialists Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223E0200XDental Providers

Dentist
Endodontics

 
21223P0300XDental Providers

Dentist
Periodontics

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLI CARTER STALLER

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(561) 495-2099

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003285339
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003481036
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 4 + 8 + 1 + 0 + 3 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1003285339 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003285339, enumerated in the NPI registry as an "organization" on September 16, 2015

The provider is located at 15340 Jog Rd Ste 100 Delray Beach, Fl 33446 and the phone number is (561) 495-2099

This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 16, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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