Sydney Collette Burcl
Individual provider Active NPI Dentist · Spring Hill, FL
NPI 1699338202 · NPPES record last updated Mar 10, 2024
Key facts
- NPI
- 1699338202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN27531 (FL)
- Practice address
- 7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437 - Phone
- (352) 518-2000
- NPI assigned
- Apr 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN27531 | FL | MD | Dentist |
| 4045-19 | MS | MD | General Practice Dentistry |
| 11290 | TN | MD | Interventional Pain Medicine Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlos Alexander DDS PLLC | General Practice | Past |
Accepting new patients |
| Happy Smiles LLC | General Practice | Past |
Accepting new patients |
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4045-19 | MS | |
| Dentist | 122300000X | DN27531 | FL | Yes |
| General Practice Dentistry | 1223G0001X | 11290 | TN |
Addresses
Primary practice location
7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437
Mailing address
7551 Forest Oaks Blvd
Spring Hill, FL 34606-2437
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.