Dentalcentre of West FL. PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 10682 Issued in FL

Legal business name

DENTALCENTRE OF WEST FL. PA

Practice address

203 South 7TH Ave
Wauchula, FL 33873

Phone

(863) 773-9852

Fax

(863) 773-5005

NPI assigned

May 14, 2007

Last updated

Sep 11, 2012By 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. Joseph W Holmes, DDSNPI 1245634765

Title

Owner/President

Phone

(863) 773-9852

Specialties & licenses 1

Addresses

Tax ID family

Dental Centre of West FL PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dental Centre of West FL, PA

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1316152192
  NPD tax ID

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.

• Joseph Holmes, D.D.S

  • Dentist
  • Wauchula, FL
  • NPI 1245634765
  NPD (past) Authorized official
• Robert Batsevich

  • General Practice Dentistry
  • Wauchula, FL
  • NPI 1356214654
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1285849075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SOUTH 7TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "33873",
            "telephone_number": "863-773-9852",
            "fax_number": "863-773-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 SOUTH 7TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "33873",
            "telephone_number": "863-773-9852",
            "fax_number": "863-773-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALCENTRE OF WEST FL. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "863-773-9852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 10682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard K Cruz
• Brenda G Cullins, R.N.
• Brittany Davidson, FNP-C
• Davinci Healthcare Management, Inc (Davinci Helping Hands)
• Samir Dawod Rajiha
• Desoto Home Health Care Inc.
• Jennifer Leigh Dickinson, APRN
• Diego Fallon Inc
• Joanne Elizabeth Dilella, A.R.N.P.
• Diversicare Leasing Corp. (Hardee Manor Healthcare Center)

• General Practice Dentistry in Wauchula, FL
• Providers in Wauchula, 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 Sep 11, 2012; 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.