Spanish Springs Dental PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPANISH SPRINGS DENTAL PA

Practice address

1116 Bichara Blvd
The Villages, FL 32159-7716

Phone

(904) 998-7000

NPI assigned

Aug 10, 2017

Last updated

Aug 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amber Parks

Title

Senior Account Specialist

Phone

(904) 998-7000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1609391606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SAINT JOHNS BLUFF RD S STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 BICHARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321597716",
            "telephone_number": "904-998-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH SPRINGS DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SENIOR ACCOUNT SPECIALIST",
        "authorized_official_telephone_number": "904-998-7000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle R. Springstead, APRN

• Dental Clinic/Center in The Villages, FL
• Providers in The Villages, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.