Aspen Dental Group, PA
Organization Active NPI General Practice Dentistry · Lake City, FL
NPI 1780996181 · NPPES record last updated Jul 14, 2010
Key facts
- NPI
- 1780996181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN14078 (FL)
- Legal business name
- ASPEN DENTAL GROUP, PA
- Practice address
- 1788 SW Barnett Way
Lake City, FL 32025-6953 - Phone
- (386) 752-2336
- Fax
- (386) 752-8601
- NPI assigned
- Jul 14, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert J Harvey, DDS
- Title
- President
- Phone
- (386) 752-2336
Practitioners 2
-
Robert J Harvey, DDS
-
Rameek McNair, D.D.S.
National Provider Directory
Locations
1788 SW Barnett Way
Lake City, FL 32025
Phone (386) 752-2336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | DN14078 | FL | Yes |
Addresses
Primary practice location
1788 SW Barnett Way
Lake City, FL 32025-6953
Mailing address
1788 SW Barnett Way
Lake City, FL 32025-6953
Phone (386) 752-2336
Other providers in Lake City, FL
- Artemis Billing LLC
- Elizabeth Gail Arthur
- Shalanda Asante
- Alan Craig Ashkinazy
- Kathryn D Ashworth
- Associated Endodontists of Lake City
- Sharma Atkinson-Staten
- Timothy Paul Atkinson
- Audiology Services Company USA, LLC
- Cynthia Austin Mobley
All providers in Lake City, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2010. 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.