Toledo Blade Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TOLEDO BLADE FAMILY DENTISTRY

Practice address

18000 Toledo Blade Blvd
Port Charlotte, FL 33948-1980

Phone

(941) 624-4000

Fax

(941) 624-2208

NPI assigned

Jan 21, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gary Gordon, DDS

Title

Managing Member

Phone

(941) 624-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1245629708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18000 TOLEDO BLADE BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481980",
            "telephone_number": "941-624-4000",
            "fax_number": "941-624-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18000 TOLEDO BLADE BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339481980",
            "telephone_number": "941-624-4000",
            "fax_number": "941-624-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO BLADE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "941-624-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Timmons, RPH
• Madelyn Grace Tiu, PA-C
• Janet M Tobin, MD PA
• Jed Dellumes Toboso, PT
• Todd B Lang OD PA (Bayside Eye Centre)
• Delia G. Toledo, M.D.
• Lawrence Topor, P.T.
• Roseviminda Tordecillas, P.T.
• Peggy Ann Torgerson, RD
• Andy Torres Infante

• General Practice Dentistry in Port Charlotte, FL
• Providers in Port Charlotte, 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 Jan 21, 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.