COUNTRY CLUB DENTAL CARE
NPI 1497082796
Dentist in Titusville, FL

Q: What is Country Club Dental Care's NPI number?

The NPI number for Country Club Dental Care is 1497082796. It was assigned to this organization in the NPPES registry on November 6, 2009.

Q: What is Country Club Dental Care's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since November 06, 2009

214 COUNTRY CLUB DR, TITUSVILLE, FL 32780(321) 269-1242(321) 269-4477 Get Directions Write a Review

NPPES record last updated: November 6, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Country Club Dental Care NPPES

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

COUNTRY CLUB DENTAL CARE (NPI 1497082796) is a healthcare organization registered as a dentist in Titusville, Florida and active in the NPI registry since November 2009. The organization lists James W Wardner, Dentist, as its authorized official.

NPPES Registry Identity

NPI1497082796

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCOUNTRY CLUB DENTAL CARE

Location Address214 COUNTRY CLUB DRTitusville, FL 32780-8605

Mailing Address214 Country Club DrTitusville, FL 32780-8605 · (321) 269-1242 · Fax (321) 269-4477

Phone(321) 269-1242

Fax(321) 269-4477

Organization SubpartNo

Authorized OfficialJames W WardnerDentist · (321) 269-1242

Enumeration DateNovember 6, 2009

✔ NPI 1497082796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in FL · 11533✔ Licensed in FL · 9681

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

214 COUNTRY CLUB DR, Titusville, FL 32780

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Country Club Dental Care's NPI number?

The NPI number for Country Club Dental Care is 1497082796. It was assigned to this organization in the NPPES registry on November 6, 2009.

Where is Country Club Dental Care located?

Country Club Dental Care is located at 214 Country Club Dr, Titusville, FL 32780. The listed phone number is (321) 269-1242.

What is Country Club Dental Care's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Country Club Dental Care was last updated on November 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.