Dental Associates of Florida - Cosmetic and Implant Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL ASSOCIATES OF FLORIDA - COSMETIC AND IMPLANT DENTISTRY PLLC

Doing business as

DAF Cosmetic and Implant Dentistry

Practice address

133 S Pebble Beach Blvd
Sun City Center, FL 33573-5791

Phone

(813) 773-3347

NPI assigned

Jan 21, 2022

Last updated

Jan 25, 2022By 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

Mike Cole

Title

VP Insurance Plan Management

Phone

(727) 424-2990

Specialties & licenses 1

Addresses

Other names 1

• DAF Cosmetic and Implant Dentistry Doing business as

Locations

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1295487270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 S PEBBLE BEACH BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 S PEBBLE BEACH BLVD",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735791",
            "telephone_number": "813-773-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF FLORIDA - COSMETIC AND IMPLANT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAF Cosmetic and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DAF Cosmetic and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.