NPIMap

Organization Active NPI

Tioga Dental Associates

  • Dentist
  • Jonesville, FL
National Provider Identifier
1497047765
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15173 Issued in FL
Legal business name
TIOGA DENTAL ASSOCIATES
Practice address
13005 SW 1St Rd Ste 233
Jonesville, FL 32669-3266
Phone
(352) 333-1946
Fax
(352) 333-9112
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Cynthia Brush, DMD
Title
President
Phone
(352) 333-1946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN15173 FL Primary

Addresses

Primary practice location

13005 SW 1St Rd Ste 233
Jonesville, FL 32669-3266

Mailing address

13005 SW 1St Rd Ste 233
Jonesville, FL 32669-3266
Phone (352) 333-1946

Other names 1

  • Tioga Dental & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

13005 SW 1st Rd
Ste 233
Newberry, FL 32669
Phone (352) 333-1946

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1497047765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SW 1ST RD STE 233",
            "city": "JONESVILLE",
            "state": "FL",
            "postal_code": "326693266",
            "telephone_number": "352-333-1946",
            "fax_number": "352-333-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SW 1ST RD STE 233",
            "city": "JONESVILLE",
            "state": "FL",
            "postal_code": "326693266",
            "telephone_number": "352-333-1946",
            "fax_number": "352-333-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "BRUSH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-333-1946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tioga Dental & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.