Brandon Dental Care PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRANDON DENTAL CARE PA

Practice address

520 Oakfield Dr
Brandon, FL 33511-5743

Phone

(813) 661-1600

Fax

(813) 661-1615

NPI assigned

Mar 23, 2020

Organization subpart

No

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

Authorized official

Name

Yudancy P Gangi, DDS

Title

Owner

Phone

(813) 661-1600

Specialties & licenses 1

Addresses

Other names 1

• FAMILY DENTAL SPA OF BRANDON Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizazeth Perks, DMD

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1336242296

  General Practice

  NPD (past)

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1043846934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115743",
            "telephone_number": "813-661-1600",
            "fax_number": "813-661-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115743",
            "telephone_number": "813-661-1600",
            "fax_number": "813-661-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "GANGI",
        "authorized_official_first_name": "YUDANCY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-661-1600",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY DENTAL SPA OF BRANDON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Community Health and Rehabilitation
• Brandon Comprehensive Dermatology
• Brandon Comprehensive Dermatology PA
• Brandon Cosmetic and Family Dentistry
• Brandon Dental Care
• Brandon Dermatology P a
• Brandon Endodontics, PA
• Brandon Eye Associates PA
• Brandon Facility Operations LLC
• Brandon Family Dental Care LLC

• All providers in Brandon, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.