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Active NPI 1316608052 Organization (Entity Type 2) Subpart Facility

Cdpg, P.l.

Dentist - General Practice • Williston, FL

Parent Organization: Cdpg, P.l.

About Cdpg, P.l. NPI 1316608052 Summary

Cdpg, P.L. is a verified healthcare organization specializing in Dentist - General Practice operating in Williston, FL. Located at 510 SW 5TH TER, this facility provides patient care and medical services under National Provider Identifier (NPI) 1316608052.

Cdpg, P.L. operates as a subpart facility of Cdpg, P.L.. Administrative operations and authorized compliance are overseen by Celia Hayes (Credentialing Coordinator).

The facility is associated with 2 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

510 Sw 5th Ter

Williston, FL 326962548

Telephone 3525286401

Authorized Official Information

Authorized Contact Name

Celia Hayes

Title / Role

Credentialing Coordinator

Official Telephone

2175402100

Facility Classifications & Specialties

Dentist - General Practice Primary Taxonomy

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

2 Linked

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active January 05, 2022

NPI status registered as active in NPPES database

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Updated Practice Location January 05, 2022

Registered at 510 SW 5TH TER, WILLISTON, FL 326962548 (Tel: 3525286401)

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Updated Business Mailing Address January 05, 2022

Registered at 510 SW 5TH TER, WILLISTON, FL 326962548 (Tel: 3525286401)

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Organization / Clinic Name Updated January 05, 2022

Operating as CDPG, P.L.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2022

Dentist

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Initial NPI Registration & Enumeration January 05, 2022

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1316608052
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: January 05, 2022
Last Update: January 05, 2022

Mailing Address

510 Sw 5th Ter

Williston, FL 326962548

Phone: 3525286401

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.