Amanda Cobb, D.M.D., PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20119 Issued in FL

Legal business name

AMANDA COBB, D.M.D., PLLC

Practice address

785 W Granada Blvd
Suite 3
Ormond Beach, FL 32174-9522

Phone

(386) 672-6581

NPI assigned

Aug 4, 2015

Last updated

Aug 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Cobb, D.M.D.NPI 1265870919

Title

Dentist

Phone

(386) 672-6581

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Leone Cobb, DMD

  • Dentist
  • Big Pine Key, FL
  • NPI 1265870919
  Authorized official Same address or phone

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1114303955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 W GRANADA BLVD",
            "address_2": "SUITE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749522",
            "telephone_number": "386-672-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 W GRANADA BLVD",
            "address_2": "SUITE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749522",
            "telephone_number": "386-672-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA COBB, D.M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "386-672-6581",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.