Divergent Dental Group, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DIVERGENT DENTAL GROUP, LLC

Practice address

1861 Placida Rd Ste 105
Englewood, FL 34223-4900

Phone

(941) 460-3565

NPI assigned

Jun 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. George Strickland, DDS

Title

Owner

Phone

(941) 213-1007

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1497379259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 PLACIDA RD STE 105",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 PLACIDA RD STE 105",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234900",
            "telephone_number": "941-460-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERGENT DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-07",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-213-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Desmarais
• Laura Susan Diekman
• Louis Difiore
• Samantha Dinis
• Anthony Ditomaso, MD
• Quynh Doan
• Donald W. Robertson, D.O., P.a.
• Pamela Dorn
• David Kenneth Doty, MD
• Dr Adam P Lipkin MD PA

• Dental Clinic/Center in Englewood, FL
• Providers in Englewood, 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 Jun 10, 2020; 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.