Your Clermont Dentist PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YOUR CLERMONT DENTIST PLLC

Practice address

2615 S US Highway 27 Ste 102
Clermont, FL 34711-6127

Phone

(352) 404-5510

NPI assigned

Dec 9, 2024

Organization subpart

No

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

Authorized official

Name

Carrol Anton, DMDNPI 1275156127

Title

Manager/Dentist

Phone

(440) 724-4877

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrol Hany Anton, DMD

  • General Practice Dentistry
  • Leesburg, FL
  • NPI 1275156127
  NPD Authorized official

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1154137768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 S US HIGHWAY 27 STE 102",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116127",
            "telephone_number": "352-404-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 S US HIGHWAY 27 STE 102",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116127",
            "telephone_number": "352-404-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR CLERMONT DENTIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "ANTON",
        "authorized_official_first_name": "CARROL",
        "authorized_official_title_or_position": "MANAGER/DENTIST",
        "authorized_official_telephone_number": "440-724-4877",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Ciera Young, COTA
• Justine Young, PHARMD
• Tina Marie Young
• Madelene Youngman
• Your Angels, LLC (Visiting Angels)
• Ninous Youssef, MD
• Monique Yseux
• Geoffrey Hunter Yurcisin, M.D.
• Lisa Ann Yurkiewicz, DMD
• Zofia Yurkiewicz, DDS

• General Practice Dentistry in Clermont, FL
• Providers in Clermont, 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 Dec 9, 2024; 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.