NPIMap

Comfortable Care Dental Health Professionals, PA

Organization Active NPI General Practice Dentistry · Oxford, FL

NPI 1124571500 · NPPES record last updated Oct 13, 2016

Key facts

NPI
1124571500
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Practice address
4232 E County Road 466
Suite 101
Oxford, FL 34484
Phone
(352) 461-0830
Fax
(352) 461-0853
NPI assigned
Aug 2, 2016
Organization subpart
Yes
Parent organization (as reported)
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA

Authorized official

Name
Kendra Walker
Title
Credentialing Team Lead
Phone
(217) 540-8312

Corporate family (same tax ID) 24

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

Practitioners 1

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)
Part of
Comfortable Care Denta Health Professionals PA

Locations

4232 E County Road 466
#101
Oxford, FL 34484
Phone (352) 461-0830

Specialties & licenses

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

Addresses

Primary practice location

4232 E County Road 466
Suite 101
Oxford, FL 34484

Mailing address

4232 E County Road 466
Suite 101
Oxford, FL 34484
Phone (352) 461-0830

Other names

  • Lake Miona Dental Care Doing business as

Other providers in Oxford, FL

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

Sources for this page

Verify at the official NPI Registry.