METDENT LLC (NPI# 1407028178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407028178 |
| Entity Type | Organization |
| Organization Name | METDENT LLC |
| Other Organization Name | SUNRISE DENTAL |
| Practice Address |
1380 W North Blvd Leesburg FL 34748-3900 |
| Practice Telephone | 3523263368 |
| Practice Fax Number | 3523263829 |
| Mailing Telephone | 3523263368 |
| Mailing Fax Number | 3523263829 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | DR. JAMES P COSTELLO (MEMBER) |
| Authorized Official Telephone | 3524081400 |
| Authorized Official Credential | DDS |
| 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 |
|---|---|
| Sunrise Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598937260 | Metdent LLC | Dentist | 18515 Us Hwy 441, Mount Dora, FL 32757-6703 | 2008-04-02 |
| Street Address |
1380 W NORTH BLVD |
| City | LEESBURG |
| State | FL |
| Zip Code | 34748-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972670586 | Macrodont Solutions Inc | Dentist | 1380 W North Blvd, Leesburg, FL 34748-3900 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610243 | Ashley Shamsa Martin | Behavior Technician | 292 Bent Oak Ct, Leesburg, FL 34748 | 2019-03-26 |
| 1891278875 | Luis O Aponte Mendoza | Physician Assistant | 704 Doctors Ct., Suite 101, Leesburg, FL 34748 | 2018-09-14 |
| 1881197903 | Physician Associates LLC | Internal Medicine | 22316 Us Highway 27, Leesburg, FL 34748 | 2018-03-15 |
| 1184136145 | Infinite Support Services LLC | In Home Supportive Care | 129 Grove Ridge Circle, 104, Leesburg, FL 34748 | 2017-10-31 |
| 1619403037 | Massage and Wellness Care | Health Maintenance Organization | 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 | 2017-05-04 |
| 1497202675 | Prime Radiology of Leesburg Inc | Radiology | 600 N W Blvd, Suite E, Leesburg, FL 34748 | 2016-09-06 |
| 1023480332 | Juanita Elizabeth Simpson | Contractor | 1911 Harcourt Drive, Leesburg, FL 34748 | 2015-10-26 |
| 1467835900 | Serenity Choice Place, LLC | Community/Behavioral Health | 721 Balmoral Circle, Leesburg, FL 34748 | 2015-07-01 |
| 1356738397 | Touching Heart's Group Homes, LLC | Community/Behavioral Health | 31809 Sunpark Cir, Leesburg, FL 34748 | 2015-04-16 |
| 1386035269 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1103 N 14th Street, Leesburg, FL 34748 | 2015-02-12 |
| Find all providers in zip 34748 | ||||
| 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 |
|---|---|---|---|---|
| 1215585302 | Geovanny Balderas | Dentist | 19340 Promenade Dr, Leesburg, VA 20176-6500 | 2019-08-31 |
| 1346716925 | Karoline Danielle Seekford | Dentist | 706 S. King St., Suite #5, Leesburg, VA 20175 | 2018-10-22 |
| 1558837856 | Bmsk, Pllc | Dentist | 823 S King St Ste E, Leesburg, VA 20175-3920 | 2018-10-15 |
| 1922345016 | Sue K Moon Dds PC | Dentist | 2 Cardinal Park Dr Se Ste 206a, Leesburg, VA 20175-4401 | 2013-01-09 |
| 1154692408 | Addax Dental Pllc | Dentist | 546 E Market St, Leesburg, VA 20176-4112 | 2012-01-18 |
| 1639446263 | Neibauer Dental Care, PC | Dentist | 1610 Village Market Blvd Se Ste 130, Leesburg, VA 20175-4675 | 2011-11-28 |
| 1992004808 | Payal G. Hanoman | Dentist | 5713 Whisper Pine Dr, Leesburg, FL 34748-1329 | 2011-03-17 |
| 1265699565 | Thomas T Kim | Dentist | 2225 North Citrus Blvd, Leesburg, FL 34748 | 2008-05-22 |
| 1023291424 | Asa Dale Selzer | Dentist | 667 County Road 2421, Leesburg, TX 75451-2291 | 2007-12-10 |
| 1376735431 | Eddie C Orobitg | Dentist | 602 Lee St, Leesburg, FL 34748-5010 | 2007-08-13 |
| Find all providers in LEESBURG | ||||
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| 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.