Kush Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

606214 Issued in FL

Legal business name

KUSH DENTAL LLC

Practice address

1012 State Road 436
Casselberry, FL 32707-5722

Phone

(407) 636-7602

Fax

(407) 636-7604

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Mark Figaro, DMD

Title

Dentist

Phone

(407) 636-7602

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1811388804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075722",
            "telephone_number": "407-636-7602",
            "fax_number": "407-636-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 STATE ROAD 436",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075722",
            "telephone_number": "407-636-7602",
            "fax_number": "407-636-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUSH DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "FIGARO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-636-7602",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "606214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Kisida
• Kitty Louise Travel Nurse
• Margaret A. Klingele, DDS
• Claudia M Koepke, PT
• Frank John Kolosky, PA
• Kristen Gilroy Kutudis, LCSW
• Ashlee Lake
• Long T Lam, PHARMD
• Jasmine Lambden, RBT
• Donna-Marie Phyllis Lanton, APRN

• Dental Clinic/Center in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.