CWD Dental Group

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CWD DENTAL GROUP

Doing business as

CWD Dental Group

Practice address

3411 Capital Medical Blvd
Tallahassee, FL 32308-4425

Phone

(850) 895-3411

NPI assigned

Apr 2, 2024

Last updated

Apr 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angie Kaye Hollifield

Title

Business Manager

Phone

(850) 491-1920

Specialties & licenses 1

Addresses

Other names 1

• CWD Dental Group Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cory Lee Couch, DMD

  • General Practice Dentistry
  • Tallahassee, FL
  • NPI 1326221979
  NPD
• Chance Michael Dalton, DMD

  • General Practice Dentistry
  • Tallahassee, FL
  • NPI 1912510207
  NPD
• Dennis C Close, DDS

  • Dentist
  • Tallahassee, FL
  • NPI 1588672489
  NPD (past)

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1730931064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084425",
            "telephone_number": "850-895-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084425",
            "telephone_number": "850-895-3411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Kerry Forest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323096825",
            "country_code": "US",
            "telephone_number": "850-893-8988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CWD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "HOLLIFIELD",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "850-491-1920"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CWD Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Curry
• Lauren Nicole Curtis, OTR/L
• Megan Curtner
• Sarah Jean Cutchen, B.A
• CWB Psychotherapy & Empowerment LLC
• Cynthia a Kimble MD
• Cynthia Whitaker, LCSW
• Cynthia's Wig Boutique LLC
• Justin Cyr, MD
• Claude D-Charles, D.C.

• Dental Clinic/Center in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.