RIVERSIDE DENTAL OF DUNNELLON PA NPI 1518556679

NPI Information

NPI: 1518556679
Provider Name: RIVERSIDE DENTAL OF DUNNELLON, PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
11352 N WILLIAMS ST STE 505
DUNNELLON, FL
ZIP 34432
Phone: (352) 533-5030
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RIVERSIDE DENTAL OF DUNNELLON, PA is a dental clinic center in Dunnellon, FL. RIVERSIDE DENTAL OF DUNNELLON, PA NPI is 1518556679. The provider is registered as an organization entity type.

The provider's business location address is:

11352 N WILLIAMS ST STE 505
DUNNELLON, FL
ZIP 34432-312
Phone: (352) 533-5030
Fax: (904) 998-7702

The provider's authorized official is Nicholas A. Narducci .
The authorized official title is President/ceo and has the following contact phone number (904) 998-7000.

The enumeration date for this NPI number is 1/13/2021 and was last updated on 1/28/2021.

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 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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