GENTLE CARE DENTISTRY NPI 1336287812

NPI Information

NPI: 1336287812
Provider Name: GENTLE CARE DENTISTRY
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 400 E MERRITT AVE
SUITE B
MERRITT ISLAND, FL
ZIP 32953
Phone: (321) 453-7047

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NPI Details

GENTLE CARE DENTISTRY is a general practice dentist in Merritt Island, 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. GENTLE CARE DENTISTRY NPI is 1336287812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 E MERRITT AVE
SUITE B
MERRITT ISLAND, FL
ZIP 32953-434
Phone: (321) 453-7047
Fax: (321) 453-4449

The provider's authorized official is Charles W. Church .
The authorized official title is Owner and has the following contact phone number (321) 453-7047.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DN-4541	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DN-4541	OTHER	FLORIDA	STATE OF FL BOARD OF DENT

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: 11/21/2025

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