Healthcare Provider Details

I. General information

NPI: 1801709787
Provider Name (Legal Business Name): BEST EMERGENCY DENTIST OF DELTONA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1674 PROVIDENCE BLVD
DELTONA FL
32725-4961
US

IV. Provider business mailing address

8794 W BOYNTON BEACH BLVD STE 218
BOYNTON BEACH FL
33472-4469
US

V. Phone/Fax

Practice location:
  • Phone: 386-789-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SEAN TOMALTY
Title or Position: TITLE MGR
Credential:
Phone: 561-789-6611