MCD Dentistry, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19664 Issued in FL

Legal business name

MCD DENTISTRY, PA

Practice address

12813 N Dale Mabry Hwy
Tampa, FL 33618-2803

Phone

(813) 962-1400

NPI assigned

Aug 14, 2012

Last updated

Aug 14, 2012By 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

Ashley Cole

Title

Provider Relations Manager

Phone

(866) 273-8204

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Chandlor Bearden, DMD

  • General Practice Dentistry
  • Pinellas Park, FL
  • NPI 1922678366
  NPD (past)
• Jyotika Jain

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1285562397
  NPD (past)
• Kimberly Phelps, DMD

  • Dentist
  • Tampa, FL
  • NPI 1598013401
  NPD (past)

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1831446376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182803",
            "telephone_number": "813-962-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCD DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PROVIDER RELATIONS MANAGER",
        "authorized_official_telephone_number": "866-273-8204"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianne McCullars, PHD
• Grace Anne McCullough, ATC
• Harry John McCurdy, LCSW
• Lauren D McCurdy, PA
• Ann McCusker, SLP
• Eric McDade
• Noah Woodberry McDade, PTA
• Aaron J McDaniel, CRNA
• Linwood A. McDaniel Jr., OT
• Lisa A McDaniel

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, 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 14, 2012; 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.