Provider Demographics
NPI:1114020294
Name:SPRING HILL DENTAL ASSOCIATES PA
Entity Type:Organization
Organization Name:SPRING HILL DENTAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-683-1838
Mailing Address - Street 1:11025 SPRING HILL DRIVE
Mailing Address - Street 2:SUITE #B
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608
Mailing Address - Country:US
Mailing Address - Phone:352-683-1838
Mailing Address - Fax:352-683-9679
Practice Address - Street 1:11025 SPRING HILL DRIVE
Practice Address - Street 2:SUITE #B
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34608
Practice Address - Country:US
Practice Address - Phone:352-683-1838
Practice Address - Fax:352-683-9679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DN 8658122300000X
DN 16566122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered122300000XDental ProvidersDentistGroup - Single Specialty