Tiny Teeth of Tally PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TINY TEETH OF TALLY PLLC

Practice address

1614 W Plaza Dr
Tallahassee, FL 32308-5324

Phone

(850) 792-9100

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Astrid Gonzalez, DDSNPI 1235473018

Title

Owner

Phone

(850) 792-9100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Astrid Ivette Gonzalez, DDS

  • Dentist
  • Tallahassee, FL
  • NPI 1235473018

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891225512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 W PLAZA DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-792-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 W PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085324",
            "telephone_number": "850-792-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY TEETH OF TALLY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ASTRID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-792-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Roper Tindale, M.S. CCC-SLP
• Aprell Rashun Tinner
• Erykah Tinner
• Faye Darby Tinson, CNP
• Tiny Smiles Pediatric Dentist PLLC
• Saraswathi Bai Tirumalasetty, MD
• Kelley Alexandria Tision, CLVT, COMS
• Titan Hospitalist Group LLC
• Shaun Rajiv Tiwari, M.D.
• William Pete Tjaden Jr., P.T.

• General Practice Dentistry in Tallahassee, FL
• Providers in Tallahassee, 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 Jul 21, 2022; 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.