NPIMap

Organization Active NPI

Dental Associates of Central Florida PA

  • General Practice Dentistry
  • Plant City, FL
National Provider Identifier
1295977098
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN17074 Issued in FL
Legal business name
DENTAL ASSOCIATES OF CENTRAL FLORIDA PA
Practice address
1702 Walden Village CT
Plant City, FL 33566-0955
Phone
(813) 719-2222
Fax
(813) 719-2229
NPI assigned
Mar 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Kathy Baker
Title
Office Manager
Phone
(813) 719-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN17074 FL Primary

Addresses

Primary practice location

1702 Walden Village CT
Plant City, FL 33566-0955

Mailing address

1702 Walden Village CT
Plant City, FL 33566-0955
Phone (813) 719-2222

National Provider Directory

National Provider Directory
Tax ID family
Dental Associates of Central Florida2 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.

NPI Registry JSON

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

{
    "created_epoch": "1238025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1295977098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 WALDEN VILLAGE CT",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660955",
            "telephone_number": "813-719-2222",
            "fax_number": "813-719-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 WALDEN VILLAGE CT",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335660955",
            "telephone_number": "813-719-2222",
            "fax_number": "813-719-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF CENTRAL FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-26",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-719-2222"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.