Organization Active NPI

Dental Group Associates of Florida, P.a.

Doing business as Family Smiles of Fleming Island

  • Dental Clinic/Center
  • Lakewood Ranch, FL
National Provider Identifier
1376179044
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL GROUP ASSOCIATES OF FLORIDA, P.A.
Doing business as
Family Smiles of Fleming Island
Fleming Island Family Dentistry
My Family Dental2 more in Other names
Practice address
8429 Lorraine Rd
# 426
Lakewood Ranch, FL 34202-9010
Phone
(941) 504-6424
Fax
(866) 627-0416
NPI assigned
Mar 13, 2020
Last updated
Mar 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Authorized official

Name
Ashley Thomas
Title
Revenue Cycle Coordinator
Phone
(678) 333-8463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

8429 Lorraine Rd
# 426
Lakewood Ranch, FL 34202-9010

Mailing address

8429 Lorraine Rd
Lakewood Ranch, FL 34202-9010
Phone (941) 504-6424

Other practice location 1

1100 US Highway 27
Clermont, FL 34714-5895
Phone (352) 243-1441

Other practice location 2

4245 N Courtenay Pkwy
Merritt Island, FL 32953-8131
Phone (321) 360-7469

Other practice location 3

1617 Catalina Blvd
Deltona, FL 32725-9699
Phone (386) 789-7990

Other practice location 4

1515 Business Center Dr Ste 1
Fleming Island, FL 32003-4401
Phone (904) 215-3323

Other names 5

  • Family Smiles of Fleming Island Doing business as
  • Fleming Island Family Dentistry Doing business as
  • My Family Dental Doing business as
  • Smile Crafters Doing business as
  • Your Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1100 US Highway 27
Clermont, FL 34714
Phone (352) 243-0715

1617 Catalina Blvd
Deltona, FL 32725
Phone (386) 457-4520

4245 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 360-7469

1515 Business Center Dr
Ste 1
Orange Park, FL 32003
Phone (904) 215-3323

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1376179044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8429 LORRAINE RD",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342029010",
            "telephone_number": "941-504-6424",
            "fax_number": "866-627-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8429 LORRAINE RD",
            "address_2": "# 426",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342029010",
            "telephone_number": "941-504-6424",
            "fax_number": "866-627-0416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 US Highway 27",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347145895",
            "country_code": "US",
            "telephone_number": "352-243-1441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4245 N Courtenay Pkwy",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329538131",
            "country_code": "US",
            "telephone_number": "321-360-7469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1617 Catalina Blvd",
            "address_purpose": "LOCATION",
            "city": "Deltona",
            "state": "FL",
            "postal_code": "327259699",
            "country_code": "US",
            "telephone_number": "386-789-7990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Business Center Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320034401",
            "country_code": "US",
            "telephone_number": "904-215-3323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTAL GROUP ASSOCIATES OF FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "REVENUE CYCLE COORDINATOR",
        "authorized_official_telephone_number": "678-333-8463"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Smiles of Fleming Island",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fleming Island Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smile Crafters",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Your Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.