1. Home
  2. Directory
  3. Florida
  4. Palm Coast
  5. Dentist
  6. NPI Profile

DENTAL SPECIALISTS OF NORTH FLORIDA
NPI 1104340991
Dentist - Periodontics in Palm Coast, FL

Active since August 02, 2017
3 CYPRESS BRANCH WAY STE 107, PALM COAST, FL 32164(386) 986-1000(386) 446-1033 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017 (2 updates tracked since 2017).

About Dental Specialists Of North Florida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTAL SPECIALISTS OF NORTH FLORIDA (NPI 1104340991) is a healthcare organization registered as a periodontics in Palm Coast, Florida and active in the NPI registry since August 2017. The organization lists John W Thousand, Owner, as its authorized official.

NPPES Registry Identity

NPI1104340991
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameFLORIDA SEDATION, IMPLANT AND DENTAL SURGERY ASSOCIATES, LLC
Location Address3 CYPRESS BRANCH WAY STE 107Palm Coast, FL 32164-8410
Mailing Address3 Cypress Branch Way Ste 107Palm Coast, FL 32164-8410 · (386) 986-1000 · Fax (386) 446-1033
Phone(386) 986-1000
Fax(386) 446-1033
Organization SubpartYes
Authorized OfficialJohn W ThousandOwner · (386) 986-1000
Enumeration DateAugust 2, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1104340991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · DN201628
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3 CYPRESS BRANCH WAY STE 107, Palm Coast, FL 32164
Open in Google Maps ↗

Other Names 1

Doing Business AsDental Specialists Of North Florida

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Sedation, Implant And Dental Surgery Associates, LLC's NPI number?

The NPI number for Florida Sedation, Implant And Dental Surgery Associates, LLC is 1104340991. It was assigned to this organization in the NPPES registry on August 2, 2017. The provider is doing business as Dental Specialists Of North Florida.

Where is Florida Sedation, Implant And Dental Surgery Associates, LLC located?

Florida Sedation, Implant And Dental Surgery Associates, LLC is located at 3 Cypress Branch Way Ste 107, Palm Coast, FL 32164. The listed phone number is (386) 986-1000.

What is Florida Sedation, Implant And Dental Surgery Associates, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Florida Sedation, Implant And Dental Surgery Associates, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.