Organization Active NPI

The Village Dental Care, PA

Doing business as Village Dental

  • General Practice Dentistry
  • The Villages, FL
National Provider Identifier
1023165669
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THE VILLAGE DENTAL CARE, PA
Doing business as
Village Dental
Practice address
111 Lagrande Blvd
The Villages, FL 32159-1302
Phone
(352) 753-7507
Fax
(352) 753-5079
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard P Hall II, D.M.D.
Title
Vice President
Phone
(352) 753-7507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

111 Lagrande Blvd
The Villages, FL 32159-1302

Mailing address

PO Box 1900
Lady Lake, FL 32158-1900
Phone (352) 753-7507

Other names 1

  • Village Dental Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1023165669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1900",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321581900",
            "telephone_number": "352-753-7507",
            "fax_number": "352-753-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LAGRANDE BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321591302",
            "telephone_number": "352-753-7507",
            "fax_number": "352-753-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE DENTAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "352-753-7507",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.