Spring Lake Group, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPRING LAKE GROUP, PA

Doing business as

Dental Care of Dr. Phillips

Practice address

7051 Dr Phillips Blvd Ste 10
Orlando, FL 32819-5140

Phone

(407) 345-1442

NPI assigned

Feb 23, 2018

Last updated

Feb 23, 2018By 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

Dr. Anne Thao Nguyen, DDSNPI 1225166390

Title

Owner

Phone

(408) 455-2471

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dental Care of Dr. Phillips Doing business as

Locations

Practitioners 2

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.

• Anne Nguyen, DDS

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1225166390
  NPD Authorized official
• Harry Martin Plummer Jr., DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1154535094
  NPD (past)

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1255832440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RIDGEWOOD DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327793312",
            "telephone_number": "408-455-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 DR PHILLIPS BLVD STE 10",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195140",
            "telephone_number": "407-345-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING LAKE GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "THAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-455-2471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "572237939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DRIVERS LICENSE",
            "identifier": "N250058777110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Dr. Phillips",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sports & Spine Medical Rehabilitation PLLC
• Sports and Orthopedic Rehabilitation Services Inc
• Michael Lee Sposato, CRNA
• Lori-Ann Marie Spreitzer, MD
• Paul J Spreitzer, MD
• Lindsay Broadhurst Sproat
• Robert Sproul, PHARMD
• Sproutlings Speech & Language Therapy, LLC
• Timothy Eugene Spruill, ED.D.
• Richard William Sprys, RPH,CPH

• Dental Clinic/Center in Orlando, FL
• Providers in Orlando, 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 Feb 23, 2018; 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.