Gulf Coast Dental Associates

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN18310 Issued in FL

Legal business name

GULF COAST DENTAL ASSOCIATES

Practice address

259 E Highland Blvd
Inverness, FL 34452-4996

Phone

(352) 344-4747

Fax

(352) 344-1942

NPI assigned

Oct 23, 2015

Last updated

Oct 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carla M Mathews

Title

Business Manager

Phone

(352) 344-4747

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1194197632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 E HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524996",
            "telephone_number": "352-344-4747",
            "fax_number": "352-344-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E HIGHLAND BLVD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344524996",
            "telephone_number": "352-344-4747",
            "fax_number": "352-344-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "352-344-4747"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN18310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle N Graham
• Thomas Joseph Greco, MD
• Mollie Griffith
• Oliver Daniel Grin III, OTA
• Anessa Guinn, APRN
• Gulfcoast Home Medical Equipment, Inc.
• Jaya P Gurnani, RPT
• Parmanand Gurnani, M.D.
• Kristina Gustafson-Rairie, CCC-SLP
• H2 Rehabilitation Services of Florida LLC (H2 Health)

• Dental Clinic/Center in Inverness, FL
• Providers in Inverness, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.