NPIMap

Comfortable Care Dental Health Professionals, PA

Organization Active NPI General Practice Dentistry · Ocala, FL

NPI 1104038876 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1104038876
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Practice address
2760 S. E. 17TH Street
Suite 600
Ocala, FL 34471
Phone
(352) 867-7797
Fax
(352) 867-5353
NPI assigned
May 4, 2007
Organization subpart
No

Authorized official

Name
Amy Kroeger
Title
Ins Cood
Phone
(217) 540-5100

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 9

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

National Provider Directory

Tax ID family
Comfortable Care Denta Health Professionals PA (455 organizations share this tax ID)

Locations

2760 SE 17th St
Ste 600
Ocala, FL 34471
Phone (352) 351-3422

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

2760 S. E. 17TH Street
Suite 600
Ocala, FL 34471

Mailing address

2760 S. E. 17TH Street
Suite 600
Ocala, FL 34471
Phone (352) 867-7797

Other names

  • The Dentist Place of Ocala Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104038876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 S. E. 17TH STREET",
            "address_2": "SUITE 600",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-867-7797",
            "fax_number": "352-867-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 S. E. 17TH STREET",
            "address_2": "SUITE 600",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-867-7797",
            "fax_number": "352-867-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "INS COOD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dentist Place of Ocala",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

All providers in Ocala, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.