Organization Active NPI

David S. Ferry III, DDS & Kelley L. Borders, DMD, PL

  • Dentist
  • Plant City, FL
National Provider Identifier
1265538367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 16284 Issued in FL
Legal business name
DAVID S. FERRY III, DDS & KELLEY L. BORDERS, DMD, PL
Practice address
1805 W Reynolds St
Plant City, FL 33563-4739
Phone
(813) 754-2605
Fax
(813) 752-7436
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kelley Lynn Borders, DMDNPI 1043355522
Title
Owner
Phone
(813) 754-2605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN 16284 FL Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN 7245 FL

Addresses

Primary practice location

1805 W Reynolds St
Plant City, FL 33563-4739

Mailing address

1805 W Reynolds St
Plant City, FL 33563-4739
Phone (813) 754-2605

National Provider Directory

National Provider Directory

Locations

1805 W Reynolds St
Plant City, FL 33563
Phone (813) 754-2605

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265538367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 W REYNOLDS ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634739",
            "telephone_number": "813-754-2605",
            "fax_number": "813-752-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 W REYNOLDS ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634739",
            "telephone_number": "813-754-2605",
            "fax_number": "813-752-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. FERRY III, DDS & KELLEY L. BORDERS, DMD, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORDERS",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-754-2605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 16284",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 7245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.