College Plaza Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

DN13483 Issued in FL

Legal business name

COLLEGE PLAZA DENTAL CENTER

Doing business as

Manatee Dental at College Plaza

Practice address

3633 Cortez Rd W
Suite A1
Bradenton, FL 34210-3119

Phone

(941) 753-5857

Fax

(941) 753-6186

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Anthony Corona, DDSNPI 1093710436

Title

Dentist/Owner

Phone

(941) 753-5857

Specialties & licenses 1

Addresses

Other names 1

• Manatee Dental at College Plaza Doing business as

Locations

Practitioners 2

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

• Dennis A Corona, D.D.S.

  • General Practice Dentistry
  • Bradenton, FL
  • NPI 1093710436
  NPD (past) Authorized official
• Joel Garcia Boss

  • Dentist
  • Bradenton, FL
  • NPI 1073929147
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1689848889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3633 CORTEZ RD W",
            "address_2": "SUITE A1",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103119",
            "telephone_number": "941-753-5857",
            "fax_number": "941-753-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 CORTEZ RD W",
            "address_2": "SUITE A1",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103119",
            "telephone_number": "941-753-5857",
            "fax_number": "941-753-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PLAZA DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "CORONA",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "941-753-5857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manatee Dental at College Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsi Cole, CCC-SLP
• Coleman Pratt MD LLC
• Andrea Coleman
• Lucy Coleman
• Theresa Coleman
• Cory Matthew Collier, O.D.
• Holly Catherine Collins, OTR/L
• Jared Andrew Collins, D.O.
• Renee Lynn Collins, AU.D.
• Jill A Collum, LCSW

• Dentist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.