Riverside Dental of Dunnellon, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RIVERSIDE DENTAL OF DUNNELLON, PA

Practice address

11352 N Williams St Ste 505
Dunnellon, FL 34432-8312

Phone

(352) 533-5030

Fax

(904) 998-7702

NPI assigned

Jan 13, 2021

Last updated

Jan 28, 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. Nicholas A. Narducci

Title

President/Ceo

Phone

(904) 998-7000

Specialties & licenses 1

Addresses

Electronic endpoints 3

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.

• Jack Thomas Ashby

  • Dentist
  • Dunnellon, FL
  • NPI 1326890658
  NPD

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1518556679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SAINT JOHNS BLUFF RD S STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463862",
            "telephone_number": "904-998-7000",
            "fax_number": "904-998-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11352 N WILLIAMS ST STE 505",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344328312",
            "telephone_number": "352-533-5030",
            "fax_number": "904-998-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE DENTAL OF DUNNELLON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "NARDUCCI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "904-998-7000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnarducci@narduccidental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11352 N Williams St Ste 505",
            "city": "Dunnellon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344328312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndg@narduccidental.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2801 Saint Johns Bluff Rd S Ste 201",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322463862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ndg2@narduccidental.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2801 Saint Johns Bluff Rd S Ste 201",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322463862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Dental Clinic/Center in Dunnellon, FL
• Providers in Dunnellon, 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 Jan 28, 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.