THE DENTIST PLACE FOR KIDS - BROOKSVILLE
NPI 1518170752
Dentist - General Practice in Brooksville, FL

Active since May 07, 2007
12005 CORTEZ BLVD, BROOKSVILLE, FL 34613(352) 596-5063(352) 596-7822 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About THE DENTIST PLACE FOR KIDS - BROOKSVILLE

This page provides the complete NPI Profile along with additional information for The Dentist Place For Kids - Brooksville, a provider established in Brooksville, Florida operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1518170752 assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The Dentist Place For Kids - Brooksville operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as The Dentist Place For Kids - Brooksville. The authorized official of this NPI record is Kendra Walker (Credentialing Team Lead)

NPI
1518170752 Verify this NPI
Provider Legal Name
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Other Organization Name
THE DENTIST PLACE FOR KIDS - BROOKSVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12005 CORTEZ BLVD BROOKSVILLE, FL 34613
Location Phone
(352) 596-5063
Location Fax
(352) 596-7822
Mailing Address
12005 CORTEZ BLVD BROOKSVILLE, FL 34613
Mailing Phone
(352) 596-5063
Mailing Fax
(352) 596-7822
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-07-2007
Last Update Date
05-13-2016
Code Navigator

A dentist like The Dentist Place For Kids - Brooksville is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223P0221XDental Providers

Dentist
Pediatric Dentistry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENDRA WALKER

Authorized Official Title
CREDENTIALING TEAM LEAD
Authorized Official Phone
(217) 540-8312

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518170752, enumerated as an "organization" on May 07, 2007.

The provider is located at 12005 CORTEZ BLVD BROOKSVILLE, FL 34613 and the phone number is (352) 596-5063.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.