Active NPI
Prestige Dental
- General Practice Dentistry
- Sarasota, FL
National Provider Identifier
1043354574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN16207
- Legal business name
- PRESTIGE DENTAL
- Practice address
- 8408 S Tamiami TRL
Sarasota, FL 34238-2936 - Phone
- (941) 918-1416
- Fax
- (941) 918-9726
- NPI assigned
- Feb 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Elizabeth Margaretha Simpson
- Title
- Data Input
- Phone
- (941) 918-1416
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN16207 | FL | Primary |
| General Practice Dentistry | 1223G0001X | DN13189 | FL |
Addresses
Primary practice location
8408 S Tamiami TRL
Sarasota, FL 34238-2936
Mailing address
8408 S Tamiami TRL
Sarasota, FL 34238-2936
Phone (941) 918-1416
National Provider Directory
National Provider DirectoryLocations
8408 S Tamiami Trl
Sarasota, FL 34238
Phone (941) 918-1416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1043354574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8408 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342382936",
"telephone_number": "941-918-1416",
"fax_number": "941-918-9726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8408 S TAMIAMI TRL",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342382936",
"telephone_number": "941-918-1416",
"fax_number": "941-918-9726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGE DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-17",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "MARGARETHA",
"authorized_official_title_or_position": "DATA INPUT",
"authorized_official_telephone_number": "941-918-1416",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN16207",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN13189",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.