NPIMap

Comfortable Care Dental Health Professionals, P.a.

Organization Active NPI General Practice Dentistry · Deland, FL

NPI 1851995203 · NPPES record last updated Jan 15, 2021

Key facts

NPI
1851995203
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.
Practice address
2409 S Woodland Blvd
Deland, FL 32720-8637
Phone
(386) 878-4826
NPI assigned
Nov 25, 2020
Organization subpart
Yes
Parent organization (as reported)
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.

Authorized official

Name
Jessica Britt
Title
Credentialing Coordinator
Phone
(217) 540-5100

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

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

National Provider Directory

Tax ID family
Comfortable Care Denta Health Professionals PA (455 organizations share this tax ID)
Part of
Comfortable Care Denta Health Professionals PA

Locations

2409 S Woodland Blvd
Deland, FL 32720
Phone (386) 337-3948

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

2409 S Woodland Blvd
Deland, FL 32720-8637

Mailing address

2409 S Woodland Blvd
Deland, FL 32720-8637
Phone (386) 337-3948

Other names

  • Woodland Dental Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 15, 2021.

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1851995203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327208637",
            "telephone_number": "386-337-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 S WOODLAND BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327208637",
            "telephone_number": "386-878-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, P.A.",
        "enumeration_date": "2020-11-25",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodland Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deland, FL

All providers in Deland, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.