Comfortable Care Dental Health Professionals, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.

Practice address

5000 Sawgrass Village Cir Ste 23
Ponte Vedra, FL 32082-5041

Phone

(904) 280-0070

NPI assigned

Dec 15, 2011

Organization subpart

Yes

Parent organization

COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.As reported in NPPES

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

Authorized official

Name

Pam Hardiek

Title

Insurance/Credentialing

Phone

(217) 540-5100

Specialties & licenses 1

Addresses

Other names 1

• Sawgrass Complete Dentistry Doing business as

Part of

Comfortable Care Denta Health Professionals PA

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1134498413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SAWGRASS VILLAGE CIR STE 23",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825041",
            "telephone_number": "904-280-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SAWGRASS VILLAGE CIR STE 23",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825041",
            "telephone_number": "904-280-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "HARDIEK",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sawgrass Complete Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Wells Chartrand, NP
• Natalie Clem
• Coastal Counseling of North Florida, LLC
• Lauren M Collins, SPEECH PATHOLOGIST
• Comfortable Care Denta Health Professionals, PA
• Connect RPM LLC
• Joseph A Contrino
• Nicole Catherine Coughlin
• Covenant Counseling Services Inc
• William C Cullen, DMD

• All providers in Ponte Vedra, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.