DIVERGENT DENTAL GROUP LLC NPI 1497379259

NPI Information

NPI: 1497379259
Provider Name: DIVERGENT DENTAL GROUP, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1861 PLACIDA RD STE 105
ENGLEWOOD, FL
ZIP 34223
Phone: (941) 460-3565
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DIVERGENT DENTAL GROUP, LLC is a dental clinic center in Englewood, FL. DIVERGENT DENTAL GROUP, LLC NPI is 1497379259. The provider is registered as an organization entity type.

The provider's business location address is:

1861 PLACIDA RD STE 105
ENGLEWOOD, FL
ZIP 34223-900
Phone: (941) 460-3565

The provider's authorized official is George Strickland .
The authorized official title is Owner and has the following contact phone number (941) 213-1007.

The enumeration date for this NPI number is 6/7/2020 and was last updated on 6/10/2020.

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	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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