The Tooth Shop on 46

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

THE TOOTH SHOP ON 46

Practice address

25520 State Road 46
Sorrento, FL 32776-9526

Phone

(352) 735-2211

Fax

(352) 735-5844

NPI assigned

Jan 17, 2022

Last updated

Jan 17, 2022By 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) 391-4231

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1932850385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "THE TOOTH SHOP ON 46",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "SYSKA",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "352-391-4231",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Smith
• Kayla Stanley
• Jessica A Staton, RN
• Niles A. Syska, D.D.S.
• The Tooth Shop of Ocala, LLC
• TLC Family Care Home, Inc.
• Laura Elizabeth Tucker, APRN-C
• Vitalguard LLC
• Lisa Whittaker, PTA
• Sherilyn Rae Williams

• Dental Clinic/Center in Sorrento, FL
• Providers in Sorrento, FL by specialty
• Dental Clinic/Center in Florida

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