Dentistry of Tavares

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTISTRY OF TAVARES

Practice address

1941 Salk Ave
Tavares, FL 32778-4306

Phone

(321) 356-5497

NPI assigned

Dec 10, 2021

Last updated

Apr 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clement James Contestable, DMDNPI 1811208853

Title

Dentist/Owner

Phone

(321) 356-5497

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Clement James Contestable, DMD

  • General Practice Dentistry
  • Orlando, FL
  • NPI 1811208853
  NPD Authorized official
• Carlos De la Torre

  • Dentist
  • Tavares, FL
  • NPI 1033597596
  NPD
• Maryam Louis Karo, DDS

  • General Practice Dentistry
  • Tavares, FL
  • NPI 1679250898
  NPD

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1407515174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784306",
            "telephone_number": "352-357-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 SALK AVE",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327784306",
            "telephone_number": "321-356-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF TAVARES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "CONTESTABLE",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "321-356-5497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109499200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isaac Benjamin Deas II, LMHC
• Joanne Isabelle Decade, M.D.
• Erika Del Moral Perez, MA
• Mariel Battung Delos Santos, PT
• Isabel M Denis, FNP
• Christine Desantis, ARNP
• John Devera
• Rohan Dharmaratnam, PA-C
• Denis Manuel Diaz, M.D.
• Caitlin C Dietrich, DPM

• Dentist in Tavares, FL
• Providers in Tavares, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.