Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 14 days before observation
Type 2 organization · NPI 1295653723
PRESTIGE DENTAL, INC.
261QD0000X · COCOA, FL
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 261QD0000X | 261QD0000X | Primary |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s