Organization Active NPI

Samant Dental Group

  • Dentist
  • Gainesville, FL
National Provider Identifier
1083789713
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SAMANT DENTAL GROUP
Practice address
4404 N.W, 36TH Ave
Gainesville, FL 32606
Phone
(352) 376-5120
Fax
(352) 373-6256
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Ms. Grace Kraft
Title
Office Manager
Phone
(352) 376-5120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4404 N.W, 36TH Ave
Gainesville, FL 32606

Mailing address

4404 N.W, 36TH Ave
Gainesville, FL 32606
Phone (352) 376-5120

National Provider Directory

National Provider Directory

Locations

4404 NW 36th Ave
Gainesville, FL 32606
Phone (352) 376-5120

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1083789713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 N.W, 36TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-376-5120",
            "fax_number": "352-373-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 N.W, 36TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32606",
            "telephone_number": "352-376-5120",
            "fax_number": "352-373-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANT DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-376-5120",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.