Active NPI
David George
- Dentist
- Daytona Beach, FL
National Provider Identifier
1033809272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN28207
- Practice address
- 1540 Cornerstone Blvd Ste 100
Daytona Beach, FL 32117-7144 - Phone
- (386) 243-9950
- NPI assigned
- May 10, 2023
- Last updated
- Apr 29, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN28207 | FL | Primary |
| Dentist | 122300000X | 39869 | TX |
Addresses
Primary practice location
1540 Cornerstone Blvd Ste 100
Daytona Beach, FL 32117-7144
Mailing address
1035 Cinnamon Fern CT
Casselberry, FL 32707-5812
Phone (407) 310-3464
Other practice location 1
100 E 15th St Ste 520
Fort Worth, TX 76102-6566
Phone (817) 529-8151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN28207 | FL | MD | Dentist |
| 39869 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L & L DB, LLC | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1033809272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 CINNAMON FERN CT",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327075812",
"telephone_number": "407-310-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 CORNERSTONE BLVD STE 100",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321177144",
"telephone_number": "386-243-9950"
}
],
"practiceLocations": [
{
"address_1": "100 E 15th St Ste 520",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761026566",
"country_code": "US",
"telephone_number": "817-529-8151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGE",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-10",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28207",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39869",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.