Organization Active NPI

Economy Dentures of Kissimmee

  • General Practice Dentistry
  • Kissimmee, FL
National Provider Identifier
1962712182
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN8243 Issued in FL
Legal business name
ECONOMY DENTURES OF KISSIMMEE
Practice address
1319 E Osceola Pkwy
C
Kissimmee, FL 34744-1605
Phone
(407) 343-1319
Fax
(407) 343-0288
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Mr. Leroy R Polite, DMD
Title
President
Phone
(904) 714-6939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN8243 FL Primary

Addresses

Primary practice location

1319 E Osceola Pkwy
C
Kissimmee, FL 34744-1605

Mailing address

1319 E Osceola Pkwy
C
Kissimmee, FL 34744-1605
Phone (407) 343-1319

National Provider Directory

National Provider Directory

Locations

1319 E Osceola Pkwy
Ste C
Kissimmee, FL 34744
Phone (407) 343-0509

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1962712182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 E OSCEOLA PKWY",
            "address_2": "C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441605",
            "telephone_number": "407-343-1319",
            "fax_number": "407-343-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 E OSCEOLA PKWY",
            "address_2": "C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441605",
            "telephone_number": "407-343-1319",
            "fax_number": "407-343-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMY DENTURES OF KISSIMMEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "POLITE",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-714-6939",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.