Organization Active NPI

SRQ Dental, PLLC

Doing business as SRQ Dental

  • General Practice Dentistry
  • Sarasota, FL
National Provider Identifier
1922803659
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SRQ DENTAL, PLLC
Doing business as
SRQ Dental
Practice address
5670 Fruitville Rd
Sarasota, FL 34232-6407
Phone
(941) 231-0225
NPI assigned
Feb 17, 2025
Last updated
Feb 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Dr. Danielle Davis, DMDNPI 1144602731
Title
Partner/Owner
Phone
(512) 663-7611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5670 Fruitville Rd
Sarasota, FL 34232-6407

Mailing address

832 Freeling Dr
Sarasota, FL 34242-1025
Phone (512) 663-7611

Other names 1

  • SRQ Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5670 Fruitville Rd
Sarasota, FL 34232
Phone (612) 716-4360

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1922803659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 FREELING DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342421025",
            "telephone_number": "512-663-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326407",
            "telephone_number": "941-231-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRQ DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "512-663-7611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRQ Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.