Organization Active NPI

Central FL Dental Associates, LLC

  • Dentist
  • Oxford, FL
National Provider Identifier
1023431996
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13227 Issued in FL
Legal business name
CENTRAL FL DENTAL ASSOCIATES, LLC
Practice address
11905 N US Highway 301
Oxford, FL 34484-2833
Phone
(352) 748-7645
Fax
(352) 748-9865
NPI assigned
Jan 29, 2014
Last updated
Jun 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Authorized official

Name
Sonia E Johary
Title
Office Manager
Phone
(352) 945-9545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN13227 FL Primary

Addresses

Primary practice location

11905 N US Highway 301
Oxford, FL 34484-2833

Mailing address

11905 N US Highway 301
Oxford, FL 34484-2833
Phone (352) 748-9688

National Provider Directory

National Provider Directory

Locations

11905 N US Highway 301
Oxford, FL 34484
Phone (352) 748-7645

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1023431996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 N US HIGHWAY 301",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842833",
            "telephone_number": "352-748-9688",
            "fax_number": "352-748-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 N US HIGHWAY 301",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344842833",
            "telephone_number": "352-748-7645",
            "fax_number": "352-748-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FL DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2023-06-22",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "JOHARY",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-945-9545"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.