Dental Surgery Specialists of Okeechobee

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN16640 Issued in FL

Legal business name

DENTAL SURGERY SPECIALISTS OF OKEECHOBEE

Practice address

113 NE 19TH Dr
Okeechobee, FL 34972-1933

Phone

(863) 824-6125

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Glen Casto, DDS,MDS

Title

Owner

Phone

(863) 824-6125

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1174888663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721933",
            "telephone_number": "863-824-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721933",
            "telephone_number": "863-824-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SURGERY SPECIALISTS OF OKEECHOBEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "CASTO",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-824-6125",
        "authorized_official_credential": "DDS,MDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN16640",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN17032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Danzey, ARNP
• David a. Sigalow, MD, PA
• David J. Underill OD
• Roger Franklin Davis Sr., D.D.S.
• Natdeilys De Armas Acosta
• Angeline C.N. Desai, M.D.
• Dana Sue Desantis, APRN
• Detox of South Florida, LLC
• Sunita Dhillon, APRN
• Diagnostic Imaging Services Inc

• Endodontics in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.