Clermont Center for Comprehensive Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN9239 Issued in FL

Legal business name

CLERMONT CENTER FOR COMPREHENSIVE DENTISTRY

Doing business as

Colony Dental

Practice address

335 Colony Blvd
The Villages, FL 32162-6084

Phone

(352) 753-3191

Fax

(352) 753-3365

NPI assigned

Nov 8, 2006

Last updated

Jan 20, 2008By 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. Don J Ilkka, DDS

Title

Secretary

Phone

(352) 787-5084

Specialties & licenses 1

Addresses

Other names 1

• Colony Dental Doing business as

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200787200000",
    "number": "1790855633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 COLONY BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321626084",
            "telephone_number": "352-753-3191",
            "fax_number": "352-753-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 COLONY BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321626084",
            "telephone_number": "352-753-3191",
            "fax_number": "352-753-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT CENTER FOR COMPREHENSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-01-20",
        "status": "A",
        "authorized_official_last_name": "ILKKA",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "352-787-5084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN9239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colony Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CL Medical Group Inc
• James Butch Clark, PT
• Scott Clark, PA
• Timothy Adam Clarrey, D.C.
• Clear View Optix, LLC
• Michael E Clifford, MD
• Clinical Pet of Ocala LLC (Radiological Institute of The Villages, LLC)
• Clinical Pet of Ocala LLC (Radiological Institute of The Villages)
• Clinical Pet of Ocala, LLC (Radiological Institute of The Villages)
• Laura T. Cloukey, M.D.

• General Practice Dentistry in The Villages, FL
• Providers in The Villages, 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 Jan 20, 2008; 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.