Specialty Scanning LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN13000 Issued in FL

Legal business name

SPECIALTY SCANNING LLC

Practice address

13640 W Colonial Dr
Suite 190
Winter Garden, FL 34787-3992

Phone

(407) 654-8211

Fax

(407) 654-6806

NPI assigned

Sep 23, 2011

Last updated

Sep 23, 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. Leonides Sandoval, DDS

Title

Manager

Phone

(407) 654-8211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1437432713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 W COLONIAL DR",
            "address_2": "SUITE 190",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873992",
            "telephone_number": "407-654-8211",
            "fax_number": "407-654-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 W COLONIAL DR",
            "address_2": "SUITE 190",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873992",
            "telephone_number": "407-654-8211",
            "fax_number": "407-654-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SCANNING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "LEONIDES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-654-8211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN13000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.