NPIMap

Comfortable Care Dental Health Professionals, P.a.

Organization Active NPI General Practice Dentistry · Davenport, FL

NPI 1114679727 · NPPES record last updated Jan 25, 2022

Key facts

NPI
1114679727
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Practice address
1101 Champions Dr
Davenport, FL 33897-7467
Phone
(863) 438-1912
NPI assigned
Jan 25, 2022
Organization subpart
Yes
Parent organization (as reported)
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Corporate family (same tax ID) 24

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

National Provider Directory

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

Locations

1101 Champions Dr
Davenport, FL 33897
Phone (863) 438-1912

Specialties & licenses

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

Addresses

Primary practice location

1101 Champions Dr
Davenport, FL 33897-7467

Mailing address

1101 Champions Dr
Davenport, FL 33897-7467
Phone (863) 438-1912

Other names

  • Dental Care at Champions Crossing Doing business as

Other providers in Davenport, FL

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

Sources for this page

Verify at the official NPI Registry.