The Tooth Shop of Ocala, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THE TOOTH SHOP OF OCALA, LLC

Practice address

25520 State Road 46
Sorrento, FL 32776-9526

Phone

(352) 735-2211

Fax

(352) 735-5844

NPI assigned

Feb 17, 2021

Last updated

Nov 3, 2021By 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

Mrs. Dana Syska

Title

Practice Manager

Phone

(352) 732-2458

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.

• Niles A. Syska, D.D.S.

  • Dentist
  • Sorrento, FL
  • NPI 1053531095
  NPD
• Thomas John Tamburello, DMD

  • General Practice Dentistry
  • Ocala, FL
  • NPI 1982456737
  NPD
• Clifford C Buehrer, D.D.S.

  • General Practice Dentistry
  • Ocala, FL
  • NPI 1528097664
  NPD (past)

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1902499338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 CONWAY RD",
            "city": "YALAHA",
            "state": "FL",
            "postal_code": "347973402",
            "telephone_number": "352-391-4231",
            "fax_number": "352-735-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25520 STATE ROAD 46",
            "city": "SORRENTO",
            "state": "FL",
            "postal_code": "327769526",
            "telephone_number": "352-735-2211",
            "fax_number": "352-735-5844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1226 SE 24th Rd",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716010",
            "country_code": "US",
            "telephone_number": "352-732-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE TOOTH SHOP OF OCALA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "SYSKA",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "352-732-2458",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Brian Sindler, D.V.M.
• Melissa Smith
• Kayla Stanley
• Jessica A Staton, RN
• Niles A. Syska, D.D.S.
• The Tooth Shop on 46
• TLC Family Care Home, Inc.
• Laura Elizabeth Tucker, APRN-C
• Vitalguard LLC
• Lisa Whittaker, PTA

• General Practice Dentistry in Sorrento, FL
• Providers in Sorrento, 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 Nov 3, 2021; 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.