Dental Associates of Florida (South Brandon) PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL ASSOCIATES OF FLORIDA (SOUTH BRANDON) PLLC

Practice address

611 E Bloomingdale Ave
Brandon, FL 33511-8127

Phone

(813) 684-6279

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

VP Inusurance Plan Management

Phone

(941) 955-3150

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1548710403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118127",
            "telephone_number": "813-684-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118127",
            "telephone_number": "813-684-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF FLORIDA (SOUTH BRANDON) PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INUSURANCE PLAN MANAGEMENT",
        "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": []
}

• Laura Jeanne Denovi, D.O.M, L.A.C
• Dental Assoc of South Brandon
• Dental Associates of Brandon, PLLC
• Dental Associates of Central Brandon
• Dental Associates of Florida (Brandon) PLLC
• Dental Day LLC
• Dental Theory Brandon
• Jill Anne Depinto
• Adrianus J Deruijter, MD
• Robyn Desha, PTA

• Dentist in Brandon, FL
• Providers in Brandon, FL by specialty
• Dentist in Florida

• 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.

Verify at the official NPI Registry.