Azov Dent Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 15210 Issued in FL

Legal business name

AZOV DENT INC

Doing business as

Dental Excellence of Englewood

Practice address

2025 South McCall Rd
Englewood, FL 34241

Phone

(941) 474-1245

Fax

(941) 475-2411

NPI assigned

Jun 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Alexei Mikerin, DDSNPI 1588775050

Title

President

Phone

(941) 266-5217

Specialties & licenses 1

Addresses

Other names 1

• Dental Excellence of Englewood Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexei Mikerin, DDS

  • General Practice Dentistry
  • Englewood, FL
  • NPI 1588775050
  NPD (past) Authorized official

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1215164272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SOUTH MCCALL RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34241",
            "telephone_number": "941-474-1245",
            "fax_number": "941-475-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 SOUTH MCCALL RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "34241",
            "telephone_number": "941-474-1245",
            "fax_number": "941-475-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZOV DENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "MIKERIN",
        "authorized_official_first_name": "ALEXEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-266-5217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 15210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Excellence of Englewood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret G Ashton, DOM
• Assisted Solutions, Inc.
• Danielle Aston
• Medjina Chimene Augustin
• Avelino F. Millares, MD, PA (Internal Medicine Center of Englewood)
• Cristina M Babiak, MD
• Iryna Babych, M.D.
• Carin M Ballard, RBT
• Anjelica Maria Barnhart
• Jack E Baron, MD

• General Practice Dentistry in Englewood, FL
• Providers in Englewood, FL by specialty
• General Practice Dentistry in Florida

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