NPIMap

Comfortable Care Dental Health Professionals, PA

Organization Active NPI General Practice Dentistry · West Melbourne, FL

NPI 1285080929 · NPPES record last updated Nov 8, 2016

Key facts

NPI
1285080929
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Practice address
715 Palm Bay Rd NE
Suite 107
West Melbourne, FL 32904-9167
Phone
(321) 332-7375
NPI assigned
May 12, 2016
Organization subpart
Yes
Parent organization (as reported)
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA

Authorized official

Name
Kendra Walker
Title
Credentialing Team Lead
Phone
(217) 540-8312

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Comfortable Care Denta Health Professionals PA (455 organizations share this tax ID)
Part of
Comfortable Care Denta Health Professionals PA

Locations

715 Palm Bay Rd NE
Unit 107
West Melbourne, FL 32904
Phone (321) 327-2427

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

715 Palm Bay Rd NE
Suite 107
West Melbourne, FL 32904-9167

Mailing address

715 Palm Bay Rd NE
Suite 107
West Melbourne, FL 32904-9167
Phone (321) 327-2427

Other names

  • Dental Care of West Melbourne Doing business as

Other providers in West Melbourne, FL

All providers in West Melbourne, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.