Organization Active NPI

Affordable Dentures - Tallahasse, P.a.

  • Dentist
  • Tallahassee, FL
National Provider Identifier
1154466753
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15271 Issued in FL
Legal business name
AFFORDABLE DENTURES - TALLAHASSE, P.A.
Practice address
2810 Sharer Rd
Suite 17
Tallahassee, FL 32312-2114
Phone
(850) 385-5188
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Eric Amundson, DDSNPI 1982792719
Title
Owner
Phone
(850) 385-5188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 15271 FL Primary

Addresses

Primary practice location

2810 Sharer Rd
Suite 17
Tallahassee, FL 32312-2114

Mailing address

2810 Sharer Rd
Suite 17
Tallahassee, FL 32312-2114
Phone (850) 385-5188

National Provider Directory

National Provider Directory

Locations

2810 Sharer Rd
Ste 17
Tallahassee, FL 32312
Phone (850) 385-5188

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154466753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 SHARER RD",
            "address_2": "SUITE 17",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122114",
            "telephone_number": "850-385-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 SHARER RD",
            "address_2": "SUITE 17",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122114",
            "telephone_number": "850-385-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - TALLAHASSE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMUNDSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-385-5188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "15271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.