Organization Active NPI

Economy Dentures of Lake Mary

  • General Practice Dentistry
  • Lake Mary, FL
National Provider Identifier
1629211735
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN8243 Issued in FL
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 DENTURESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.