NPIMap

Comfortable Care Dental Health Professionals, P.a.

Organization Active NPI General Practice Dentistry · Summerfield, FL

NPI 1558095307 · NPPES record last updated Jul 15, 2022

Key facts

NPI
1558095307
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Practice address
17801 SE 109TH Ave
Summerfield, FL 34491-8967
Phone
(352) 480-5732
Fax
(352) 480-5957
NPI assigned
Jul 15, 2022
Organization subpart
Yes
Parent organization (as reported)
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

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

National Provider Directory

Tax ID family
Comfortable Care Denta Health Professionals PA (455 organizations share this tax ID)
Part of
Comfortable Care Denta Health Professionals PA

Locations

17801 SE 109th Ave
Summerfield, FL 34491
Phone (352) 480-5732

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

17801 SE 109TH Ave
Summerfield, FL 34491-8967

Mailing address

17801 SE 109TH Ave
Summerfield, FL 34491-8967
Phone (352) 480-5732

Other names

  • Summerfield Dental Care Doing business as

Other providers in Summerfield, FL

All providers in Summerfield, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.