Organization Active NPI

Visible Smile Dentistry

  • Dental Clinic/Center
  • Gainesville, FL
National Provider Identifier
1780103374
Registry record updated Sep 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VISIBLE SMILE DENTISTRY
Practice address
4436 NW 23Rd Ave Ste B
Gainesville, FL 32606-6507
Phone
(352) 373-4924
NPI assigned
Sep 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2017

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

Authorized official

Name
Dr. Danielle Tennille Burney, DDS
Title
Ceo
Phone
(352) 672-8581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X FL Primary

Addresses

Primary practice location

4436 NW 23Rd Ave Ste B
Gainesville, FL 32606-6507

Mailing address

1608 NE 4TH Ave
Gainesville, FL 32641-5755

National Provider Directory

National Provider Directory

Locations

4436 NW 23rd Ave
Ste B
Gainesville, FL 32606
Phone (352) 373-4924

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506384000000",
    "number": "1780103374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 NE 4TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326415755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 NW 23RD AVE STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066507",
            "telephone_number": "352-373-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIBLE SMILE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-26",
        "status": "A",
        "authorized_official_last_name": "BURNEY",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "TENNILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-672-8581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.