Dental Associates of Bartow

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17074 Issued in FL

Legal business name

DENTAL ASSOCIATES OF BARTOW

Practice address

3500 S Florida Ave Ste 2
Lakeland, FL 33803-4869

Phone

(863) 510-5960

Fax

(863) 510-5961

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Bill Witt

Title

Operations Manager

Phone

(863) 510-5960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1366710022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 N BROADWAY AVE STE 13",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303301",
            "telephone_number": "863-533-4444",
            "fax_number": "863-533-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S FLORIDA AVE STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338034869",
            "telephone_number": "863-510-5960",
            "fax_number": "863-510-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF BARTOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "863-510-5960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris B Denizard
• Hannah Dennis
• Julianne Dennison
• Shirley Denson, CNA
• Samantha Marie Denstedt, DC
• Dental Associates of Florida (Lakeland) PLLC
• Dental Associates of Florida (S. Lakeland) PLLC
• Dental Associates of Winter Haven
• Dental Implant Specialists of Florida, PA
• Dentists of Lakeland, PA

• General Practice Dentistry in Lakeland, FL
• Providers in Lakeland, 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 Dec 9, 2011; 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.