Coral Reef Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CORAL REEF DENTAL LLC

Practice address

3490 E Lake Rd Ste a
Palm Harbor, FL 34685-2421

Phone

(727) 789-1333

Fax

(727) 772-4166

NPI assigned

Oct 10, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Paul Caputo, DDSNPI 1083049563

Title

Managing Member

Phone

(727) 789-1333

Specialties & licenses 1

Addresses

Practitioners 2

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

• Paul L Caputo, DDS

  • Dentist
  • Palm Harbor, FL
  • NPI 1083049563
  NPD (past) Authorized official
• Anida Capuri, DMD

  • General Practice Dentistry
  • Palm Harbor, FL
  • NPI 1649968777
  NPD

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1083589766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 E LAKE RD STE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852421",
            "telephone_number": "727-789-1333",
            "fax_number": "727-772-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 E LAKE RD STE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852421",
            "telephone_number": "727-789-1333",
            "fax_number": "727-772-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL REEF DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "CAPUTO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-789-1333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Moniece Cook, PH.D.
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• Sherry Cooper, PSYD, LMFT, QS
• Cooperative Coaching Concepts
• Cora John Staffing and Care Management Inc.
• Coremd Spine and Joints LLC
• Jeanne Coronado, RPSGT
• Robert James Corris II, PT
• Sandra Farneti Corsetti, DNP, ARNP-BC
• Cosmetic Medicine Enterprises Inc

• Dental Clinic/Center in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.