Senior Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SENIOR DENTAL CARE

Practice address

16700 SE Pear St
Blountstown, FL 32424-2177

Phone

(850) 398-4425

NPI assigned

Mar 12, 2013

Last updated

Mar 12, 2013By 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

Mrs. Cassi Layne

Title

President

Phone

(850) 398-4425

Specialties & licenses 1

Addresses

Tax ID family

Senior Dental Care2 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.

• Senior Dental Care, LLC

  dba Senior Dental Care

  • Dentist
  • Blountstown, FL
  • NPI 1821305988
  NPD tax ID

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1457692618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324240367",
            "telephone_number": "850-398-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16700 SE PEAR ST",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324242177",
            "telephone_number": "850-398-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "LAYNE",
        "authorized_official_first_name": "CASSI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-398-4425",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Revell Sansom, APRN
• Sarah a Roper (Rivertown Senior Care)
• Keven Mickel Schock, M.A.
• Myron Daniel Schrock, D.M.D.
• Jennifer Michele Scott, PA-C
• Senior Dental Care of Iowa
• Senior Dental Care of Louisiana
• Senior Dental Care, LLC (Senior Dental Care)
• Gerald Wayne Skipper Jr., M.D.
• Rita Smith, ARNP

• General Practice Dentistry in Blountstown, FL
• Providers in Blountstown, 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 Mar 12, 2013; 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.