Organization Active NPI

Titov Dental, P.a.

  • Dental Clinic/Center
  • Naples, FL
National Provider Identifier
1568045490
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TITOV DENTAL, P.A.
Practice address
6654 Collier Blvd Unit 104
Naples, FL 34114-8179
Phone
(239) 331-3575
NPI assigned
Apr 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Authorized official

Name
Dr. Evgeny Titov, DMDNPI 1497378137
Title
Dentist/Owner
Phone
(352) 727-2172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6654 Collier Blvd Unit 104
Naples, FL 34114-8179

Mailing address

6654 Collier Blvd Unit 104
Naples, FL 34114-8179

Other names 1

  • Marsh Cove Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Marsh Cove Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1568045490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6654 COLLIER BLVD UNIT 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 COLLIER BLVD UNIT 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148179",
            "telephone_number": "239-331-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITOV DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "TITOV",
        "authorized_official_first_name": "EVGENY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "352-727-2172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marsh Cove Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.