THE VILLAGE DENTAL CARE, PA (NPI# 1023165669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023165669 |
| Entity Type | Organization |
| Organization Name | THE VILLAGE DENTAL CARE, PA |
| Other Organization Name | VILLAGE DENTAL |
| Practice Address |
111 Lagrande Blvd The Villages FL 32159-1302 |
| Mailing Address |
Po Box 1900 Lady Lake FL 32158-1900 |
| Practice Telephone | 3527537507 |
| Practice Fax Number | 3527535079 |
| Mailing Telephone | 3527537507 |
| Mailing Fax Number | 3527535079 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2011-08-10 |
| Authorized Official Name | RICHARD P HALL II (VICE PRESIDENT) |
| Authorized Official Telephone | 3527537507 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Village Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073991204 | The Village Dental Care, Pa | Dentist | 2532 Burnsed Blvd, The Villages, FL 32163-2704 | 2015-05-07 |
| 1649578287 | The Village Dental Care, Pa | Dentist | 540 Fieldcrest Dr, The Villages, FL 32162-4601 | 2011-03-07 |
| Street Address |
111 LAGRANDE BLVD |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32159-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309375 | Deak-n-hall, LLC | In Home Supportive Care | 111 Lagrande Blvd, The Villages, FL 32159-1302 | 2020-05-30 |
| 1134276165 | Michael Henry Hards | Dentist | 111 Lagrande Blvd, The Villages, FL 32159-1302 | 2007-01-04 |
| 1194872101 | Richard Philllip Hall II | Dentist | 111 Lagrande Blvd, The Villages, FL 32159-1302 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710414354 | Marisol Mora | Dentist | 3790 Wedgewood Ln, The Villages, FL 32162-9319 | 2017-05-14 |
| 1073991204 | The Village Dental Care, Pa | Dentist | 2532 Burnsed Blvd, The Villages, FL 32163-2704 | 2015-05-07 |
| 1467691212 | Buenos Aires Dental, Inc | Dentist | 1503 Buenos Aires Blvd Ste 125, The Villages, FL 32159-6821 | 2009-02-17 |
| 1962684498 | Richard W Rozensky Dds Pa | Dentist | 1950 Laurel Manor Dr Ste 180, The Villages, FL 32162-5608 | 2007-11-27 |
| 1952501934 | Tuquyen Nguyen | Dentist | 8564 E County Road 466 Ste 307, The Villages, FL 32162-3021 | 2007-07-19 |
| 1811105091 | Perry Ekstrand | Dentist | 1116 Bichara Blvd, The Villages, FL 32159 | 2007-05-19 |
| 1780898817 | Rozensky Ilkka and Associates Pa | Dentist | 3495 Wedgewood Ln, The Villages, FL 32162-7184 | 2007-05-09 |
| 1447475421 | Richard W Rozensky | Dentist | 8792 Se 165th Mulberry Ln, The Villages, FL 32162-5861 | 2007-04-16 |
| 1770632481 | Reem Jaber | Dentist | 11938 County Road 101, Suite 130, The Villages, FL 32162-9330 | 2007-01-10 |
| 1477600153 | Edward James Farrell | Dentist | 540 Fieldcrest Dr, The Villages, FL 32162-4601 | 2007-01-04 |
| Find all providers in THE VILLAGES | ||||
| City | THE VILLAGES |
| Zip Code | 32159 |
Please comment or provide details below to improve the information on THE VILLAGE DENTAL CARE, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.