Dental Associates of Florida (Brooksville) PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL ASSOCIATES OF FLORIDA (BROOKSVILLE) PLLC

Practice address

401 Howell Ave
Brooksville, FL 34601-2044

Phone

(352) 796-3931

NPI assigned

Oct 4, 2016

Last updated

Oct 5, 2016By 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

Mike Cole

Title

VP Insurance Plan Management

Phone

(941) 955-3150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1740730613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HOWELL AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012044",
            "telephone_number": "352-796-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOWELL AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012044",
            "telephone_number": "352-796-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF FLORIDA (BROOKSVILLE) PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "941-955-3150"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin William Denker, M.D.
• Dennis Gonzalez, MD, PA
• Sara Denny, LMT
• Aaron Cleveland Denson, M.D.
• Dental Associates of Brooksville
• Nancy L Derexson, OTR/L
• Jasmin Radhika Desai, M.D.
• Mit Navanit Desai, MD
• Shiv Desai, MD
• Lizbeth Destaffaney

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.