Affordable Dentures - Gainesville, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

6996 Issued in FL

Legal business name

AFFORDABLE DENTURES - GAINESVILLE, P.A.

Practice address

4401 NW 25TH PL Ste G
Gainesville, FL 32606-6569

Phone

(352) 376-8229

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stephan Showstark, DMDNPI 1639266562

Title

Owner

Phone

(352) 376-8229

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Stephan Showstark, DMD

  • Dentist
  • Gainesville, FL
  • NPI 1639266562
  NPD (past) Authorized official
• George S. Fox Jr., D.D.S.

  • Dentist
  • Gainesville, FL
  • NPI 1700064813
  NPD (past)
• Keith Phipps, DDS

  • Dentist
  • Gainesville, FL
  • NPI 1851561567
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114065059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 NW 25TH PL STE G",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066569",
            "telephone_number": "352-376-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 NW 25TH PL STE G",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066569",
            "telephone_number": "352-376-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - GAINESVILLE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHOWSTARK",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-376-8229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "6996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.