Metdent LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

METDENT LLC

Practice address

1380 W North Blvd
Leesburg, FL 34748-3900

Phone

(352) 326-3368

Fax

(352) 326-3829

NPI assigned

Apr 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James P Costello, DDS

Title

Member

Phone

(352) 408-1400

Specialties & licenses 1

Addresses

Other names 1

• Sunrise Dental Doing business as

Tax ID family

Metdent LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Metdent LLC

  • General Practice Dentistry
  • Mount Dora, FL
  • NPI 1598937260
  NPD tax ID

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1407028178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 W NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483900",
            "telephone_number": "352-326-3368",
            "fax_number": "352-326-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 W NORTH BLVD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483900",
            "telephone_number": "352-326-3368",
            "fax_number": "352-326-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METDENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "352-408-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Melcher, M.D.
• Sarah E. Melde, COTA/L
• Teresa E Mendez, APRN
• Melissa E. Mercado, APRN
• Sergio Mercado, MD
• Metro Treatment of Florida, LP
• Amanda Melanie Metzger, PA
• Matthew Meyer, MSN
• Michael V Durante DC PA
• Debra Lee Michaud, APRN

• General Practice Dentistry in Leesburg, FL
• Providers in Leesburg, 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 Apr 2, 2008; 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.