Provider Demographics
NPI:1780834531
Name:CYPRESS POINT DENTISTRY P.A.
Entity Type:Organization
Organization Name:CYPRESS POINT DENTISTRY P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:386-445-6677
Mailing Address - Street 1:105 CYPRESS POINT PARKWAY SUITE A
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164
Mailing Address - Country:US
Mailing Address - Phone:386-445-6677
Mailing Address - Fax:386-445-0607
Practice Address - Street 1:105 CYPRESS POINT PARKWAY SUITE A
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164
Practice Address - Country:US
Practice Address - Phone:386-445-6677
Practice Address - Fax:386-445-0607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty