Organization Active NPI

Town Park Dental, P.a.

  • Dental Clinic/Center
  • Orlando, FL
National Provider Identifier
1356800775
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Mar 15, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.