Tioga Dental & Orthodontics, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TIOGA DENTAL & ORTHODONTICS, PLLC

Practice address

13005 SW 1St Rd Ste 233
Gainesville, FL 32669-3266

Phone

(352) 333-1946

NPI assigned

Mar 20, 2018

Organization subpart

No

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

Authorized official

Name

Stephanie Gomez

Title

Credentialing Supervisor

Phone

(305) 274-2499

Specialties & licenses 1

Addresses

Practitioners 3

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

• Emily Grace Farris, DDS

  • General Practice Dentistry
  • Jonesville, FL
  • NPI 1588232573
  NPD (past)
• Cynthia Dickson Haug- Brush, DMD

  • General Practice Dentistry
  • Jonesville, FL
  • NPI 1003941568
  NPD (past)
• Sara Potter

  • Dentist
  • Jonesville, FL
  • NPI 1235311341
  NPD (past)

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1881198299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SW 1ST RD STE 233",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326693266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SW 1ST RD STE 233",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326693266",
            "telephone_number": "352-333-1946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA DENTAL & ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "305-274-2499"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Hoop Tincher, PHARMD
• Chelsea Tindal
• Kayla Tindall
• Drew Tingey, DO
• Tioga Dental & Orthodontics Celebration Pointe PLLC
• Nathan R. Tipper, MD
• Bernadine Ann Tippit, DNP
• Laura Susan Tipton, RPH
• Teresa Tipton
• Lizmarie Tirado Castro, MD

• General Practice Dentistry in Gainesville, FL
• Providers in Gainesville, 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 Mar 20, 2018; 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.