Aspen Dental Group, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14078 Issued in 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

Last updated

Jul 14, 2010By 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

Dr. Robert J Harvey, DDSNPI 1447350962

Title

President

Phone

(386) 752-2336

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Robert J Harvey, DDS

  • General Practice Dentistry
  • Lake City, FL
  • NPI 1447350962
  NPD (past) Authorized official
• Rameek McNair, D.D.S.

  • General Practice Dentistry
  • Lake City, FL
  • NPI 1033257985
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1780996181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 SW BARNETT WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256953",
            "telephone_number": "386-752-2336",
            "fax_number": "386-752-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 SW BARNETT WAY",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256953",
            "telephone_number": "386-752-2336",
            "fax_number": "386-752-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN DENTAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-752-2336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artemis Billing LLC (Artemis Birth & Wellness)
• Elizabeth Gail Arthur, LMT
• Shalanda Asante, RRT
• Alan Craig Ashkinazy, DC
• Kathryn D Ashworth
• Associated Endodontists of Lake City
• Sharma Atkinson-Staten, ARNP
• Timothy Paul Atkinson, APRN
• Audiology Services Company USA, LLC
• Cynthia Austin Mobley, LMT

• General Practice Dentistry in Lake City, FL
• Providers in Lake City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; 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.