Dental Day LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL DAY LLC

Practice address

611 E Bloomingdale Ave Ste C
Brandon, FL 33511-8127

Phone

(813) 820-0071

Fax

(813) 820-0072

NPI assigned

Dec 16, 2018

Last updated

Oct 29, 2020By 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. Shadan Hafsa, DMDNPI 1699150110

Title

Dentist/Owner

Phone

(813) 775-8956

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Shadan Hafsa

  • General Practice Dentistry
  • Brandon, FL
  • NPI 1699150110
  NPD Authorized official

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1295206324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E BLOOMINGDALE AVE STE C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118127",
            "telephone_number": "813-820-0071",
            "fax_number": "813-820-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E BLOOMINGDALE AVE STE C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118127",
            "telephone_number": "813-820-0071",
            "fax_number": "813-820-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "HAFSA",
        "authorized_official_first_name": "SHADAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "813-775-8956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Assoc of South Brandon
• Dental Associates of Brandon, PLLC
• Dental Associates of Central Brandon
• Dental Associates of Florida (Brandon) PLLC
• Dental Associates of Florida (South Brandon) PLLC
• Dental Theory Brandon
• Jill Anne Depinto
• Adrianus J Deruijter, MD
• Robyn Desha, PTA
• Jovianne Desir

• General Practice Dentistry in Brandon, FL
• Providers in Brandon, 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 Oct 29, 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.