Active NPI
Economy Dentures of Lake Mary
- General Practice Dentistry
- Lake Mary, FL
National Provider Identifier
1629211735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN8243
- Legal business name
- ECONOMY DENTURES OF LAKE MARY
- Practice address
- 890 S Sun Dr
Lake Mary, FL 32746-2406 - Phone
- (407) 333-3508
- Fax
- (407) 804-5189
- NPI assigned
- Apr 20, 2009
- Organization subpart
- Yes
- Parent organization
- ECONOMY DENTURES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Wendy Gail Kimbrell
- Title
- Office Manager
- Phone
- (904) 696-6767
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN8243 | FL | Primary |
Addresses
Primary practice location
890 S Sun Dr
Lake Mary, FL 32746-2406
Mailing address
1680 Dunn Ave
Suite 31
Jacksonville, FL 32218-4782
Phone (904) 696-6767
National Provider Directory
National Provider Directory- Part of
- Economy Dentures
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dentist
- Jacksonville, FL
- NPI 1750588133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240185600000",
"number": "1629211735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 DUNN AVE",
"address_2": "SUITE 31",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184782",
"telephone_number": "904-696-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 S SUN DR",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462406",
"telephone_number": "407-333-3508",
"fax_number": "407-804-5189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECONOMY DENTURES OF LAKE MARY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ECONOMY DENTURES",
"enumeration_date": "2009-04-20",
"last_updated": "2009-04-20",
"status": "A",
"authorized_official_last_name": "KIMBRELL",
"authorized_official_first_name": "WENDY",
"authorized_official_middle_name": "GAIL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "904-696-6767",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN8243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.