Alvin Dennis, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN 17540 Issued in FL

Practice address

1385 W State Road 434
Suite 203
Longwood, FL 32750-6871

Phone

(407) 332-6060

Fax

(407) 332-8190

NPI assigned

Jun 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comfortable Care Dental Health Professionals, PA

  • General Practice Dentistry
  • Longwood, FL
  • NPI 1851503577
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306048095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 W STATE ROAD 434",
            "address_2": "SUITE 203",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506871",
            "telephone_number": "407-332-6060",
            "fax_number": "407-332-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W STATE ROAD 434",
            "address_2": "SUITE 203",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506871",
            "telephone_number": "407-332-6060",
            "fax_number": "407-332-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhoanna Delgado Palacios
• Elba Elizabeth Della Sala, NBC-HWC
• Delta Health Group Inc
• Demac Healthcare LLC
• Denise Panuccio MD PA
• Dental World Inc
• Emmanuela Derisbrun, NURSE PRACTITIONER
• Anthony Charles Derrick, DDS
• Pratima Deshmukh, M.D.
• Ericka Devore, AU.D.

• Dentist in Longwood, FL
• Providers in Longwood, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.