Family Dentistry of St. Cloud, PL

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FAMILY DENTISTRY OF ST. CLOUD, PL

Practice address

1300 13TH St
Suite B
Saint Cloud, FL 34769-4317

Phone

(407) 892-3326

Fax

(407) 892-4354

NPI assigned

Mar 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark Steven Colburn, D.D.S.NPI 1851455539

Title

MGRM

Phone

(407) 892-3326

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Steven Colburn, D.D.S.

  • General Practice Dentistry
  • Saint Cloud, FL
  • NPI 1851455539
  NPD (past) Authorized official

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1669796264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 13TH ST",
            "address_2": "SUITE B",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694317",
            "telephone_number": "407-892-3326",
            "fax_number": "407-892-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 13TH ST",
            "address_2": "SUITE B",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347694317",
            "telephone_number": "407-892-3326",
            "fax_number": "407-892-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF ST. CLOUD, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "407-892-3326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Exantus, PT
• Expanding Horizons
• Eye Doctors Optical Outlets, PA
• Eyes Off the Avenue, LLC
• Samantha Jo Fagnant, LMT
• Family Nutrition Rd PLLC
• Family Practice-St Cloud, Inc.
• Emily Farmer
• Rita Fassett, PA-C
• Jennifer Dannette Fenell, M.S.,CFY/SLP

• General Practice Dentistry in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.