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CAN COMMUNITY HEALTH INC. NPI 1538739313


NPI Information

NPI: 1538739313
Provider Name: CAN COMMUNITY HEALTH, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 03D2170285

Address:
1231 N TUTTLE AVE
SARASOTA, FL
ZIP 34237
Phone: (941) 366-0134
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CAN COMMUNITY HEALTH, INC. is a general practice dentist in Sarasota, FL. The provider is 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. CAN COMMUNITY HEALTH, INC. NPI is 1538739313. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1231 N TUTTLE AVE
SARASOTA, FL
ZIP 34237-116
Phone: (941) 366-0134
Fax: (866) 622-3009

The provider's authorized official is Richard Carlisle .
The authorized official title is President / Ceo and has the following contact phone number (941) 300-4440.

The CLIA number assigned to this NPI record is 03D2170285 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2021 and was last updated on 6/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1057256026MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.