Organization Active NPI

Thomas M. Sedlak, P.a.

  • General Practice Dentistry
  • Inverness, FL
National Provider Identifier
1629112875
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN11363 Issued in FL
Legal business name
THOMAS M. SEDLAK, P.A.
Practice address
3288 E Thomas St
Inverness, FL 34453-3212
Phone
(352) 344-3448
Fax
(352) 419-0084
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Dr. Thomas Michael Sedlak Sr., DDSNPI 1629476338
Title
Dentist
Phone
(352) 344-3448

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN11363 FL Primary

Addresses

Primary practice location

3288 E Thomas St
Inverness, FL 34453-3212

Mailing address

3288 E Thomas St
Inverness, FL 34453-3212
Phone (352) 344-3448

National Provider Directory

National Provider Directory

Locations

3288 E Thomas St
Inverness, FL 34453
Phone (352) 344-3448

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": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1629112875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 E THOMAS ST",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533212",
            "telephone_number": "352-344-3448",
            "fax_number": "352-344-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 E THOMAS ST",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533212",
            "telephone_number": "352-344-3448",
            "fax_number": "352-419-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. SEDLAK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "SEDLAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "352-344-3448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.