Dental Associates of Florida (Sun City Center) PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL ASSOCIATES OF FLORIDA (SUN CITY CENTER) PLLC

Practice address

4040 Upper Creek Dr
Sun City Center, FL 33573-6844

Phone

(813) 633-3339

NPI assigned

Oct 5, 2016

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

VP Insurance Plan Management

Phone

(941) 955-3150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1023568854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 UPPER CREEK DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736844",
            "telephone_number": "813-633-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 UPPER CREEK DR",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736844",
            "telephone_number": "813-633-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF FLORIDA (SUN CITY CENTER) PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "941-955-3150"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri P Crousset, LCSW
• Cypress Care Pharmacy
• Olivia Davila
• Dental Associates of Central Florida
• Dental Associates of Florida - Cosmetic and Implant Dentistry PLLC (DAF Cosmetic and Implant Dentistry)
• Dental Associates of Suncity
• Dental Experts of Florida
• Kathryn Jenny Derrick, PA-C
• Pamela L Detrick, MHNP
• Vijayalakshmi Dhaduvai, M.D.

• Dentist in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.