Dental Assoc of South Brandon

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL ASSOC OF SOUTH BRANDON

Practice address

611 E Bloomingdale Ave
Suite C
Brandon, FL 33511-8127

Phone

(813) 684-6279

Fax

(813) 684-2189

NPI assigned

Feb 18, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal B Barron

Title

Insurance Supervisor

Phone

(813) 684-6279

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeffery B Cook, DMD

  • Dentist
  • Brandon, FL
  • NPI 1548336365
  NPD (past)

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1588088223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E BLOOMINGDALE AVE",
            "address_2": "SUITE C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118127",
            "telephone_number": "813-684-6279",
            "fax_number": "813-684-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E BLOOMINGDALE AVE",
            "address_2": "SUITE C",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118127",
            "telephone_number": "813-684-6279",
            "fax_number": "813-684-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOC OF SOUTH BRANDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "INSURANCE SUPERVISOR",
        "authorized_official_telephone_number": "813-684-6279",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Andrew Denero, RPH
• Denise Palter LCSW PLLC
• Vincent M Denitto, DMD
• Takiyah Waller Dennies, M.S.
• Laura Jeanne Denovi, D.O.M, L.A.C
• Dental Associates of Brandon, PLLC
• Dental Associates of Central Brandon
• Dental Associates of Florida (Brandon) PLLC
• Dental Associates of Florida (South Brandon) PLLC
• Dental Day LLC

• 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 Feb 18, 2014; 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.