Active NPI
Dental Associates of Florida (Winter Haven) PLLC
- Dentist
- Winter Haven, FL
National Provider Identifier
1477003200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTAL ASSOCIATES OF FLORIDA (WINTER HAVEN) PLLC
- Practice address
- 329 Cypress Gardens Blvd
Winter Haven, FL 33880-4452 - Phone
- (863) 875-7934
- NPI assigned
- Oct 5, 2016
- Last updated
- Oct 5, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mike Cole
- Title
- VP Insurance Plan Mangement
- Phone
- (941) 955-3150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | FL | Primary |
Addresses
Primary practice location
329 Cypress Gardens Blvd
Winter Haven, FL 33880-4452
Mailing address
329 Cypress Gardens Blvd
Winter Haven, FL 33880-4452
Phone (863) 875-7934
National Provider Directory
National Provider DirectoryLocations
329 Cypress Gardens Blvd
Winter Haven, FL 33880
Phone (512) 296-3983
Practitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Winter Haven, FL
- NPI 1093201212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475625600000",
"number": "1477003200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 CYPRESS GARDENS BLVD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338804452",
"telephone_number": "863-875-7934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 CYPRESS GARDENS BLVD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338804452",
"telephone_number": "863-875-7934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL ASSOCIATES OF FLORIDA (WINTER HAVEN) PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-05",
"last_updated": "2016-10-05",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "VP INSURANCE PLAN MANGEMENT",
"authorized_official_telephone_number": "941-955-3150"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.