Grand Oaks Dental Care Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GRAND OAKS DENTAL CARE CORP

Doing business as

Grand Oaks Dental Care

Practice address

2710 SE 17TH St
Ocala, FL 34471-5519

Phone

(352) 820-4926

NPI assigned

Mar 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Simon Amir, DMDNPI 1649479254

Title

Owner

Phone

(352) 682-7640

Specialties & licenses 2

Addresses

Other names 1

• Grand Oaks Dental Care Doing business as

Practitioners 1

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

• Simon T. Amir, D.M.D.

  • General Practice Dentistry
  • Ocala, FL
  • NPI 1649479254
  NPD Authorized official

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1114621513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715519",
            "telephone_number": "352-820-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715519",
            "telephone_number": "352-820-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND OAKS DENTAL CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "AMIR",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-682-7640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Oaks Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey B Graham, ARNP
• Christopher Joel Grainger, M.D.
• Presilla Lorraine Grajeda
• Mindy Sue Grall, ARNP, PHD
• Grand Oaks Dental Care
• Randi Granger
• Elizabeth Mitchell Grant, MHC
• Kera Grant
• Kimberly Grant
• Virginia Renee Grant

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.