Froug Sun City Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32164.0000 Issued in FL

Legal business name

FROUG SUN CITY DENTAL CENTER

Practice address

727 Cortaro Dr
Ruskin, FL 33573-6812

Phone

(813) 633-2636

Fax

(813) 634-3630

NPI assigned

May 30, 2007

Organization subpart

No

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

Authorized official

Name

Summer Dubose

Title

Office Manager

Phone

(813) 633-2636

Specialties & licenses 1

Addresses

Other names 1

• sun city dental Other name

Locations

Practitioners 2

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

• Thomas A Devol, DDS

  • General Practice Dentistry
  • Ruskin, FL
  • NPI 1083754808
  NPD (past)
• Richard Glenn Kantwill, DDS

  • Dentist
  • Tampa, FL
  • NPI 1710188487
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1609077270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 CORTARO DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "813-633-2636",
            "fax_number": "813-634-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 CORTARO DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "813-633-2636",
            "fax_number": "813-634-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROUG SUN CITY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-633-2636"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "32164.0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sun city dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Brandon Frampton
• Jacqueline Frazer, ARNP
• Zachary Freeman, OT
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• Fruition Home Care
• Melissa Anne Fuentes Sweet, APRN
• Abigail Fuentes
• Rodderick Gainey Jr.
• Luz Esmeralda Gaona, M.S., CCC-SLP

• General Practice Dentistry in Ruskin, FL
• Providers in Ruskin, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.