Kissimmee Dental Associates PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12975 Issued in FL

Legal business name

KISSIMMEE DENTAL ASSOCIATES PA

Practice address

324 Pleasant Street
Kissimmee, FL 34741-5732

Phone

(407) 847-2103

Fax

(407) 847-5042

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dorothy A Thomsen, DDS

Title

Owner President Dentist

Phone

(407) 847-2103

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1992823207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 PLEASANT STREET",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415732",
            "telephone_number": "407-847-2103",
            "fax_number": "407-847-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 PLEASANT STREET",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415732",
            "telephone_number": "407-847-2103",
            "fax_number": "407-847-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISSIMMEE DENTAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "THOMSEN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRESIDENT DENTIST",
        "authorized_official_telephone_number": "407-847-2103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "12975",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "13033",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Lane Kipp, PHD
• Alyssa Kirby
• Patricia Evadne Kirschner, P.T.A.
• Kissimmee Assisted Living LLC (Canopy Ridge Assisted Living)
• Kissimmee Chiropractic Center and Rehab Inc
• Kissimmee Diagnostic Center,LLC
• Kissimmee Endoscopy Center
• Kissimmee Endoscopy Center Associates, Inc
• Kissimmee Facility Operations LLC (Living Center of Kissimmee)
• Kissimmee Family Dentistry, PLLC

• General Practice Dentistry in Kissimmee, FL
• Providers in Kissimmee, 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 28, 2007; 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.