NPIMap

Organization Active NPI

Stephen George DMD PLLC

  • Dental Clinic/Center
  • Leesburg, FL
National Provider Identifier
1972174720
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STEPHEN GEORGE DMD PLLC
Practice address
606 W Magnolia St
Leesburg, FL 34748-5892
Phone
(352) 787-4800
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Dr. Stephen W George, DMDNPI 1700136645
Title
Manager
Phone
(352) 787-4800

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

606 W Magnolia St
Leesburg, FL 34748-5892

Mailing address

606 W Magnolia St
Leesburg, FL 34748-5892
Phone (352) 787-4800

Other names 1

  • The Main Street Dentists, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

606 W Magnolia St
Leesburg, FL 34748
Phone (352) 787-4800

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1972174720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W MAGNOLIA ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485892",
            "telephone_number": "352-787-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W MAGNOLIA ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485892",
            "telephone_number": "352-787-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN GEORGE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-787-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Main Street Dentists, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Main Street Dentists, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.