Dentists of Sanford PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS OF SANFORD PA

Doing business as

Dentists of Sanford

Practice address

4730 Sr 46 Ste 1220
Sanford, FL 32771-9220

Phone

(407) 708-3145

Fax

(407) 232-9296

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Minh Pham, DDS

Title

Owner

Phone

(407) 708-3145

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Sanford Doing business as

Locations

Practitioners 3

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

• Claudine Andujar

  • Dentist
  • Sanford, FL
  • NPI 1912644659
  NPD (past)
• Monica Nicola, DDS

  • Dentist
  • Sanford, FL
  • NPI 1801572755
  NPD (past)
• Kevin Shan, DMD

  • General Practice Dentistry
  • Sanford, FL
  • NPI 1326798976
  NPD (past)

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1801455787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 SR 46 STE 1220",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719220",
            "telephone_number": "407-708-3145",
            "fax_number": "407-232-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF SANFORD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-708-3145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Sanford",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dentists of Sanford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eligio S Degamo, MD
• Tabitha Ann Delay-Grossnickle, LMFT
• Javier Delgado
• Matthew Charles Demetree, DC
• Randall W Denmark Jr., PHARMD
• Drashti Niraj Desai, M.D.
• Descheneaux Vision Care LLC
• Designer Smiles PA
• Sergelyne Desousces
• Ghayathri Ananthi Devaraj, NP

• General Practice Dentistry in Sanford, FL
• Providers in Sanford, 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 Aug 21, 2024; 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.