Kodp PLLC

Pediatric Dentistry · Gainesville, FL

Organization Active NPI

NPI number 1902798903

Practice location

5209 SW 91st Dr
Gainesville, FL 32608-3028
Phone
(352) 335-7777
Fax
(352) 727-4066

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NPI record

NPI
1902798903
Entity type
Organization (Type 2)
Enumeration date
July 16, 2025
Last updated
July 16, 2025
Certified
July 16, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X — —

Authorized official

Name
Dr. Alicia Jessica Moore, DDS
Title
Pediatric Dentist
Phone
(352) 335-7777

Other names

  • Kid Only Dental Place

Other practice locations (1)

  • 4910 NW 27th Ct, Gainesville, FL 32606-6590 · (352) 335-7777 ext. 2

About Kodp PLLC

Kodp PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 5209 SW 91st Dr, Gainesville, FL 32608-3028. The NPI number 1902798903 was assigned on July 16, 2025 and the record was last updated on July 16, 2025.

The authorized official for this organization is Dr. Alicia Jessica Moore, DDS, Pediatric Dentist.

Frequently asked questions

What is the NPI number of Kodp PLLC?

The NPI number is 1902798903.

What is the phone number of Kodp PLLC?

The phone number listed for the practice location is (352) 335-7777.

Where is Kodp PLLC located?

5209 SW 91st Dr, Gainesville, FL 32608-3028.

What is the taxonomy code for Kodp PLLC?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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