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TUSCAWILLA DENTAL LLC
NPI 1598930646
Dentist - General Practice in Edgewater, FL

Active since April 29, 2008
2102 S RIDGEWOOD AVE, STE 6, EDGEWATER, FL 32141(386) 423-3652(386) 423-3653 Get Directions Write a Review

NPPES record last updated: April 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tuscawilla Dental Llc NPPES

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

TUSCAWILLA DENTAL LLC (NPI 1598930646) is a healthcare organization registered as a general practice in Edgewater, Florida and active in the NPI registry since April 2008. The organization lists David Richard Mccreary, Owner, as its authorized official.

NPPES Registry Identity

NPI1598930646
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTUSCAWILLA DENTAL LLC
Location Address2102 S RIDGEWOOD AVE, STE 6Edgewater, FL 32141-4240
Mailing Address2102 S Ridgewood Ave, Ste 6Edgewater, FL 32141-4240 · (386) 423-3652 · Fax (386) 423-3653
Phone(386) 423-3652
Fax(386) 423-3653
Organization SubpartNo
Authorized OfficialDavid Richard MccrearyOwner · (386) 423-3652
Enumeration DateApril 29, 2008
✔ NPI 1598930646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN15207
Definition
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.
2102 S RIDGEWOOD AVE, Edgewater, FL 32141
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FILOMENA VIRTUOSO
Psychologist
2102 S RIDGEWOOD AVE
EDGEWATER, FL 32141
Volusia County (386) 402-8346
FLORIDA HEALTHY SLEEP LLC
Dentist
2102 S RIDGEWOOD AVE, #6
EDGEWATER, FL 32141
Volusia County (386) 957-5710
CARMEN MICHELE VIRTUOSO LCSW
Social Worker (Clinical)
2102 S RIDGEWOOD AVE
EDGEWATER, FL 32141
Volusia County (386) 853-9100

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 Tuscawilla Dental LLC's NPI number?

The NPI number for Tuscawilla Dental LLC is 1598930646. It was assigned to this organization in the NPPES registry on April 29, 2008.

Where is Tuscawilla Dental LLC located?

Tuscawilla Dental LLC is located at 2102 S Ridgewood Ave Ste 6, Edgewater, FL 32141. The listed phone number is (386) 423-3652.

What is Tuscawilla Dental LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tuscawilla Dental LLC was last updated on April 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.