Organization Active NPI

Transformation Dentistry, PLLC

Doing business as Transformation Dentistry

  • General Practice Dentistry
  • Gainesville, FL
National Provider Identifier
1376462077
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRANSFORMATION DENTISTRY, PLLC
Doing business as
Transformation Dentistry
Practice address
220 NW 76TH Dr Ste a
Gainesville, FL 32607-6671
Phone
(352) 331-4080
Fax
(352) 332-6694
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Mary E Middleton
Title
Office Manager
Phone
(352) 331-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

220 NW 76TH Dr Ste a
Gainesville, FL 32607-6671

Mailing address

220 NW 76TH Dr Ste a
Gainesville, FL 32607-6671
Phone (352) 331-4080

Other names 1

  • Transformation Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

220 NW 76th Dr
Ste A
Gainesville, FL 32607
Phone (352) 331-4080

Practitioners & affiliated clinicians

Practitioners 2

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": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1376462077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NW 76TH DR STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076671",
            "telephone_number": "352-331-4080",
            "fax_number": "352-332-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW 76TH DR STE A",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076671",
            "telephone_number": "352-331-4080",
            "fax_number": "352-332-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-331-4080"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transformation Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.