NPIMap

Organization Active NPI

David C Neal DDS PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Winter Haven, FL
National Provider Identifier
1659596088
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN0005273 Issued in FL
Legal business name
DAVID C NEAL DDS PA
Practice address
400 Avenue K SE
Suite #10
Winter Haven, FL 33880-4145
Phone
(863) 294-7648
Fax
(863) 294-9045
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David C Neal, DDSNPI 1376550509
Title
Physician
Phone
(863) 294-7648

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X DN0005273 FL Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X DN15279 FL

Addresses

Primary practice location

400 Avenue K SE
Suite #10
Winter Haven, FL 33880-4145

Mailing address

400 Avenue K SE
Suite #10
Winter Haven, FL 33880-4145
Phone (863) 294-7648

National Provider Directory

National Provider Directory

Locations

400 Avenue K SE
Ste 10
Winter Haven, FL 33880
Phone (863) 294-7648

Practitioners & affiliated clinicians

Practitioners 4

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": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659596088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE",
            "address_2": "SUITE #10",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804145",
            "telephone_number": "863-294-7648",
            "fax_number": "863-294-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVENUE K SE",
            "address_2": "SUITE #10",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338804145",
            "telephone_number": "863-294-7648",
            "fax_number": "863-294-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C NEAL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "863-294-7648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0005273",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN15279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.