Sirin Thanasasavat DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17989 Issued in FL

Legal business name

SIRIN THANASASAVAT DMD PA

Practice address

8010 Sunport Dr Ste 115
Orlando, FL 32809-7897

Phone

(407) 412-7887

Fax

(407) 641-8932

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Sirin Thanasasavat, D.M.D

Title

President

Phone

(407) 929-7095

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bright Smile Dental Doing business as

Tax ID family

Bright Smile Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bright Smile Dental

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1225421662
  NPD tax ID

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1144576737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 SUNPORT DR STE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097897",
            "telephone_number": "407-412-7887",
            "fax_number": "407-641-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 SUNPORT DR STE 115",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328097897",
            "telephone_number": "407-412-7887",
            "fax_number": "407-641-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRIN THANASASAVAT DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "THANASASAVAT",
        "authorized_official_first_name": "SIRIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-929-7095",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076828600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alex Joseph Siragusa, RPH
• Ramchandra Siram, MD
• Amber Joy Siri, OTR/L
• Kris Siri, M.D.
• Nilukshan Ranil Sirigampola, PA-C, ATC
• Sirin Thanasasavat, DMD PA
• Surendra Gopal Sirivolu, DDS MHA
• Amy Sirmans
• Ruthie Johnson Sirmans, ARNP
• Sawanda Sirmans, LPN

• General Practice Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.