NPIMap

Comfortable Care Dental Health Professionals, P.a.

Organization Active NPI General Practice Dentistry · Venice, FL

NPI 1124667076 · NPPES record last updated Dec 24, 2019

Key facts

NPI
1124667076
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Practice address
1500 E Venice Ave Unit 203
Venice, FL 34292-1664
Phone
(941) 256-3219
NPI assigned
Dec 24, 2019
Organization subpart
Yes
Parent organization (as reported)
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.

Authorized official

Name
Tabatha Lemke
Title
Credentialing Coordinator
Phone
(217) 540-6078

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

1500 E Venice Ave
Unit 203
Venice, FL 34292
Phone (941) 256-3219

Specialties & licenses

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

Addresses

Primary practice location

1500 E Venice Ave Unit 203
Venice, FL 34292-1664

Mailing address

1500 E Venice Ave Unit 203
Venice, FL 34292-1664

Other names

  • The Smile Centre - Venice Doing business as

Other providers in Venice, FL

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

Sources for this page

Verify at the official NPI Registry.