Sierra Dental Group, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17835 Issued in FL

Legal business name

SIERRA DENTAL GROUP, PA

Practice address

2333 Forest Dr
Inverness, FL 34453-3817

Phone

(352) 726-2849

Fax

(352) 726-1610

NPI assigned

Nov 22, 2011

Last updated

Nov 22, 2011By 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. Pablo Sierra, DMD

Title

Owner

Phone

(352) 726-2849

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1427325299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1718",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344511718",
            "telephone_number": "352-726-2849",
            "fax_number": "352-726-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533817",
            "telephone_number": "352-726-2849",
            "fax_number": "352-726-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA DENTAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-726-2849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "17835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Shaw
• Shawn a Kersh DO PA
• Sheridan Healthcorp, Inc.
• Christopher Michael Sherwood
• Kelly Sieg, M.A.,CCC-SLP, BACB
• Carlos Humberto Sierra
• Wayne Simmons, DO
• Navin Singh, O.D.
• Sawrajpal Singh, MD
• Tushar Singh, MBBCHBAO

• General Practice Dentistry in Inverness, FL
• Providers in Inverness, 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 Nov 22, 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.