Sara Kohen Dean DMD PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SARA KOHEN DEAN DMD PLLC

Practice address

106 N Old Kings Rd Ste a
Ormond Beach, FL 32174-5177

Phone

(386) 672-2590

Fax

(386) 672-9041

NPI assigned

Jun 29, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sara K Dean, DMDNPI 1780600106

Title

Owner

Phone

(386) 672-2590

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Kohen Dean, DMD

  • General Practice Dentistry
  • Ormond Beach, FL
  • NPI 1780600106
  NPD Authorized official
• Robert Edgar Burch, DDS

  • General Practice Dentistry
  • Ormond Beach, FL
  • NPI 1952528978
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1235861055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N OLD KINGS RD STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745177",
            "telephone_number": "386-672-2590",
            "fax_number": "386-672-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N OLD KINGS RD STE A",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745177",
            "telephone_number": "386-672-2590",
            "fax_number": "386-672-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA KOHEN DEAN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-672-2590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandford H Kinne III D O P a
• Adriane Sanitate
• Evelyn V Santiago Gonzalez, CRNA
• Shannon Michelle Santiago, PTA
• Massiel Alexandra Santos Diaz, ARNP
• Casy J Sargent, PTA
• Sarju Group LLC (Community Pharmacy of Ormond Beach)
• Madison Saunders, MD
• Madison Savage
• Rosemary Ann Savage, D.O.

• General Practice Dentistry in Ormond Beach, FL
• Providers in Ormond Beach, 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 Jun 29, 2022; 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.