David W Dempsey, D.D.S.
Individual provider Active NPI General Practice Dentistry · Trinity, FL
NPI 1003831827 · NPPES record last updated Aug 24, 2015
Key facts
- NPI
- 1003831827
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6761 (FL)
- Practice address
- 10733 Maple Creek Dr
Suite # 102
Trinity, FL 34655-4422 - Phone
- (727) 372-0550
- Fax
- (727) 372-4669
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170306002760 | FL | Order and Referring Only - Other (Physician) |
0345524567 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6761 | FL | MD | General Practice Dentistry |
Networks
- FL HMO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- FL HMO D-SNP
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6761 | FL | Yes |
Addresses
Primary practice location
10733 Maple Creek Dr
Suite # 102
Trinity, FL 34655-4422
Mailing address
10733 Maple Creek Dr
Suite # 102
Trinity, FL 34655-4422
Phone (727) 372-0550
Other providers in Trinity, FL
- Jon-Michael Degidio
- Kelle Christine Degroat
- Giovanni Dejesus
- Emily Ruth Delgado
- Amanda April Delvalle
- Dennis Dario MD LLC
- Dentists of Mitchell Ranch, PA
- Dermatology Associates of the Palm Beaches PLLC
- Parth R Desai
- Russell Deutscher
All providers in Trinity, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.