Summerland Dental Professional Association

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION

Practice address

24986 Overseas Hwy
Summerland Key, FL 33042-4612

Phone

(305) 745-1522

NPI assigned

Feb 23, 2021

Last updated

Feb 23, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMERLAND DENTAL PROFESSIONAL ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

William L. Tycoliz Jr., DDSNPI 1770511750

Title

Owner/Practitioner

Phone

(305) 745-1522

Specialties & licenses 1

Addresses

Other names 1

• William Tycoliz JR DDS PA Other name

Electronic endpoints 1

Part of

Summerland Dental Professional Association

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William L Tycoliz Jr., DDS

  • General Practice Dentistry
  • Summerland Key, FL
  • NPI 1770511750
  NPD Authorized official

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1629662341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420212",
            "city": "SUMMERLAND KEY",
            "state": "FL",
            "postal_code": "330420212",
            "telephone_number": "305-745-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24986 OVERSEAS HWY",
            "city": "SUMMERLAND KEY",
            "state": "FL",
            "postal_code": "330424612",
            "telephone_number": "305-745-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "TYCOLIZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "305-745-1522",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dentrix",
            "affiliation": "N",
            "endpointDescription": "Computer Software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "24986 Overseas Hwy",
            "city": "Summerland Key",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330424612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "William Tycoliz JR DDS PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Altrimese McGlockton
• Amy Naish
• Madeline Paulich
• Southernmost Sports Chiropractic LLC
• Michael Stern, DC
• Linda Swift, P.T.
• William L Tycoliz Jr., DDS
• Michelle Marie Wischmeyer, DOM, LMT

• Customized Equipment (DME) in Summerland Key, FL
• Providers in Summerland Key, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.