Dream Team Dentistry & Associates, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DREAM TEAM DENTISTRY & ASSOCIATES, PLLC

Practice address

17178 Toledo Blade Blvd
Port Charlotte, FL 33954-2626

Phone

(941) 625-7877

Fax

(941) 625-4349

NPI assigned

Mar 3, 2020

Last updated

Mar 3, 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. Sean R Bates, DDSNPI 1952473738

Title

Owner

Phone

(941) 625-7877

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.

• Sean R Bates, DDS

  • General Practice Dentistry
  • Port Charlotte, FL
  • NPI 1952473738
  Authorized official Same address or phone

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1326672023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17178 TOLEDO BLADE BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542626",
            "telephone_number": "941-625-7877",
            "fax_number": "941-625-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17178 TOLEDO BLADE BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339542626",
            "telephone_number": "941-625-7877",
            "fax_number": "941-625-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM TEAM DENTISTRY & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-625-7877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Ebenezer a Kuma MD PA (Children's-Family Medi-Centre)
• Dr Jake MD LLC
• Dr Jan Kelley PA
• Ronald Draden
• Andrei Sorin Dragomer III, DDS
• Dreamz Sleep Disorders Center
• Roger Anthony Dreyling, M.D.
• Patricia Ann Drow, OTR/L
• Doriana Duffus Gamez
• Jaimela J. Dulaney, M.D.

• General Practice Dentistry in Port Charlotte, FL
• Providers in Port Charlotte, 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 Mar 3, 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.