Active NPI
Carolina Dentures of the Villages
- Dental Clinic/Center
- The Villages, FL
National Provider Identifier
1699009688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DN0011269
- Legal business name
- CAROLINA DENTURES OF THE VILLAGES
- Practice address
- 8640 E County Road 466
Suite B
The Villages, FL 32162-5615 - Phone
- (352) 674-9077
- Fax
- (352) 259-8542
- NPI assigned
- Sep 24, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judy Ann Mastapasco
- Title
- Office Administrator
- Phone
- (352) 674-9077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN0011269 | FL | Primary |
Addresses
Primary practice location
8640 E County Road 466
Suite B
The Villages, FL 32162-5615
Mailing address
8640 E County Road 466
Suite B
The Villages, FL 32162-5615
Phone (352) 674-9077
National Provider Directory
National Provider DirectoryLocations
8640 E County Road 466
Ste B
The Villages, FL 32162
Phone (352) 674-9077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- The Villages, FL
- NPI 1740426097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253750400000",
"number": "1699009688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8640 E COUNTY ROAD 466",
"address_2": "SUITE B",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625615",
"telephone_number": "352-674-9077",
"fax_number": "352-259-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8640 E COUNTY ROAD 466",
"address_2": "SUITE B",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625615",
"telephone_number": "352-674-9077",
"fax_number": "352-259-8542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA DENTURES OF THE VILLAGES",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-24",
"last_updated": "2009-09-24",
"status": "A",
"authorized_official_last_name": "MASTAPASCO",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "352-674-9077"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "FL",
"license": "DN0011269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.