XD Dental Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

XD DENTAL INC

Doing business as

TD Dental Group

Practice address

28410 Bonita Crossings Blvd Unit 250
Bonita Springs, FL 34135-3223

Phone

(239) 317-8333

NPI assigned

Apr 1, 2021

Last updated

Apr 1, 2021By 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. Jose Leonel Vazquez, DMD

Title

President

Phone

(786) 227-0969

Specialties & licenses 1

Addresses

Other names 1

• TD Dental Group Doing business as

Locations

Practitioners 1

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.

• Jose Leonel Vazquez Llana, DMD

  • General Practice Dentistry
  • Hialeah, FL
  • NPI 1487176020
  NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1437737285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28410 BONITA CROSSINGS BLVD UNIT 250",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341353223",
            "telephone_number": "239-317-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28410 BONITA CROSSINGS BLVD UNIT 250",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341353223",
            "telephone_number": "239-317-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XD DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LEONEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-227-0969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TD Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Anthony Witherow Jr., PHARM.D., RPH.
• Sharon Lee L Witt, DO
• Michael John Woulas, PHD
• Amanda Wright, PT
• Heather Anne Wynn, LMHC
• Karen Anne Yale, DC
• Venkata R. Yerramilli, M.D.
• Victoria L Yorke, MD.
• Renee Young, MS, LMHC
• Your Endodontic Specialist, PA (Your Endodontic Specialist)

• General Practice Dentistry in Bonita Springs, FL
• Providers in Bonita Springs, 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 1, 2021; 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.