SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION NPI 1629662341

Durable Medical Equipment & Medical Supplies (Customized Equipment) in Summerland Key, FL

NPI 1629662341 Organization Durable Medical Equipment & Medical Supp... Customized Equipment

About SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION

Summerland Dental Professional Association is a provider established in Summerland Key, Florida specializing in durable medical equipment & medical supplies (customized equipment) . The NPI number of Summerland Dental Professional Association is 1629662341 and was assigned on February 2021. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is William L. Tycoliz Jr. Dds (Owner/practitioner)

NPI

1629662341

Provider NameSUMMERLAND DENTAL PROFESSIONAL ASSOCIATION
Provider Location Address24986 OVERSEAS HWY SUMMERLAND KEY, FL 33042
Provider Mailing AddressPO BOX 420212 SUMMERLAND KEY, FL 33042
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date02-23-2021
Last Update Date02-23-2021


Primary Taxonomy

Taxonomy Code332BC3200X
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
SpecializationCustomized Equipment

Business Address

SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION
24986 OVERSEAS HWY
SUMMERLAND KEY, FL
ZIP 33042
Phone: (305) 745-1522

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Mailing Address

SUMMERLAND DENTAL PROFESSIONAL ASSOCIATION
PO BOX 420212
SUMMERLAND KEY, FL
ZIP 33042
Phone: (305) 745-1522



Authorized Official

Authorized Official Name WILLIAM L. TYCOLIZ JR. DDS
Authorized Official TitleOWNER/PRACTITIONER
Authorized Official Phone(305) 745-1522

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770511750DR. WILLIAM L TYCOLIZ JR. DDS
Individual
Dentist (General Practice)24986 OVERSEAS HWY
SUMMERLAND KEY, FL 33042
(305) 745-1522

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.