South Village Dental, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTH VILLAGE DENTAL, P.A.

Practice address

339 Colony Blvd
The Villages, FL 32162-6084

Phone

(904) 998-7000

NPI assigned

Aug 11, 2017

Organization subpart

No

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

Authorized official

Name

Amber Parks

Title

Senior Account Specialist

Phone

(904) 998-7000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1760907711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 SAINT JOHNS BLUFF RD S # 352",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242682",
            "telephone_number": "904-998-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 COLONY BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321626084",
            "telephone_number": "904-998-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VILLAGE DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "SENIOR ACCOUNT SPECIALIST",
        "authorized_official_telephone_number": "904-998-7000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonata Villages I, LLC
• Alan Sonsky, MD
• Sonus-USA, Inc.
• Alfred Soto, MD
• Luis E Soto
• Scott Jeffrey Southard, RPH
• Nicole Marie Southcott, FNP
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.
• Southern Trace Chiropractic and Massage Center PA

• Dental Clinic/Center in The Villages, FL
• Providers in The Villages, 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 Aug 11, 2017; 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.