Active NPI
Town Park Dental, P.a.
- Dental Clinic/Center
- Orlando, FL
National Provider Identifier
1356800775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- TOWN PARK DENTAL, P.A.
- Practice address
- 12950 E Colonial Dr Ste 124
Orlando, FL 32826-4609 - Phone
- (407) 635-0704
- NPI assigned
- Mar 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicholas Narducci
- Title
- Owner
- Phone
- (904) 998-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
12950 E Colonial Dr Ste 124
Orlando, FL 32826-4609
Mailing address
2801 Saint Johns Bluff Rd S Ste 201
Jacksonville, FL 32246-3862
Phone (904) 998-7000
National Provider Directory
National Provider DirectoryLocations
12950 E Colonial Dr
Ste 124
Orlando, FL 32826
Phone (407) 281-1119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552608000000",
"number": "1356800775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 SAINT JOHNS BLUFF RD S STE 201",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322463862",
"telephone_number": "904-998-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12950 E COLONIAL DR STE 124",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328264609",
"telephone_number": "407-635-0704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN PARK DENTAL, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A",
"authorized_official_last_name": "NARDUCCI",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-998-7000"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.