Active NPI
Dab Dental Center PLLC
- Pediatric Dentistry
- Sarasota, FL
National Provider Identifier
1174093256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 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 DirectoryLocations
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.