Organization Active NPI

Dab Dental Center PLLC

  • Pediatric Dentistry
  • Sarasota, FL
National Provider Identifier
1174093256
Registry record updated Mar 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DAB DENTAL CENTER PLLC
Practice address
2700 Tamiami Tracil #7
Sarasota, FL 34249-0001
Phone
(941) 365-0800
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2019

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

Authorized official

Name
Stephanie Gomez
Title
Credentialing Supervisor
Phone
(305) 274-2499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2700 Tamiami Tracil #7
Sarasota, FL 34249-0001

Mailing address

2700 Tamiami Tracil #7
Sarasota, FL 34249-0001

Other practice location 1

205 6th Ave E Ste A
Bradenton, FL 34208-1903
Phone (941) 746-0443

National Provider Directory

National Provider Directory

Locations

205 6th Ave E
Ste A
Bradenton, FL 34208
Phone (941) 746-0443

2700 S Tamiami Trl
Ste 7
Sarasota, FL 34239
Phone (941) 365-0800

NPI Registry JSON

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553990400000",
    "number": "1174093256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TAMIAMI TRACIL #7",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342490001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 TAMIAMI TRACIL #7",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342490001",
            "telephone_number": "941-365-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 6th Ave E Ste A",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342081903",
            "country_code": "US",
            "telephone_number": "941-746-0443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAB DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2019-03-31",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "305-274-2499"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; 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.