1760986509 NPI number — WINTER SPRINGS FAMILY DENTAL, P.A.

Table of content: (NPI 1760986509)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760986509 NPI number — WINTER SPRINGS FAMILY DENTAL, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WINTER SPRINGS FAMILY DENTAL, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760986509
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/09/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4755 HIGHWAY A1A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VERO BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32963-5402
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
772-231-6004
Provider Business Mailing Address Fax Number:
772-231-7249

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5220 RED BUG LAKE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINTER SPRINGS
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32708-4912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-231-6004
Provider Business Practice Location Address Fax Number:
772-231-7249
Provider Enumeration Date:
03/19/2018

Additional Information

Authorized Official

Authorized Official Last Name:
PLANES
Authorized Official First Name:
ALEX
Authorized Official Middle Name:
A
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
305-613-2615

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  DN20254 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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