Center for Dental Anesthesia PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CENTER FOR DENTAL ANESTHESIA PA

Practice address

2122 E Robinson St
Orlando, FL 32803-6047

Phone

(407) 894-4921

NPI assigned

Jan 9, 2019

Organization subpart

No

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

Authorized official

Name

Lawrence Duffy, DMDNPI 1447306386

Title

Administrator

Phone

(407) 467-7159

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Lawrence Duffy, D.M.D.

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1447306386
  NPD (past) Authorized official
• Joseph Michael Bongiorno II, DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1528118916
  NPD (past)
• Kyle Duffy

  • Dentist
  • Orlando, FL
  • NPI 1073929568
  NPD (past)

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1295208460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036047",
            "telephone_number": "407-894-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 E ROBINSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328036047",
            "telephone_number": "407-894-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR DENTAL ANESTHESIA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-467-7159",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Orlando, FL
• Providers in Orlando, 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 Jan 9, 2019; 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.