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COUNTRYSIDE DENTAL ASSOC INC
NPI 1699934646
Dentist in Cooper City, FL

Active since June 05, 2008
5810 S. FLAMINGO RD, COOPER CITY, FL 33330(954) 434-3229(954) 680-6254 Get Directions Write a Review

NPPES record last updated: January 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Dental Assoc Inc NPPES

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

COUNTRYSIDE DENTAL ASSOC INC (NPI 1699934646) is a healthcare organization registered as a dentist in Cooper City, Florida and active in the NPI registry since June 2008. The organization lists Michael J Ancona, President/dentist, as its authorized official.

NPPES Registry Identity

NPI1699934646
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCOUNTRYSIDE DENTAL ASSOC INC
Location Address5810 S. FLAMINGO RDCooper City, FL 33330-3237
Mailing Address5810 S. Flamingo RdCooper City, FL 33330-3237 · (954) 434-3229 · Fax (954) 680-6254
Phone(954) 434-3229
Fax(954) 680-6254
Organization SubpartNo
Authorized OfficialMichael J AnconaPresident/dentist · (954) 434-3229
Enumeration DateJune 5, 2008
Last NPPES UpdateJanuary 20, 2011
✔ NPI 1699934646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed · DN8648✔ Licensed in FL · DN8648✔ Licensed in FL · DN18677
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN18066 (FL)
5810 S. FLAMINGO RD, Cooper City, FL 33330
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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 Countryside Dental Assoc Inc's NPI number?

The NPI number for Countryside Dental Assoc Inc is 1699934646. It was assigned to this organization in the NPPES registry on June 5, 2008.

Where is Countryside Dental Assoc Inc located?

Countryside Dental Assoc Inc is located at 5810 S. Flamingo Rd, Cooper City, FL 33330. The listed phone number is (954) 434-3229.

What is Countryside Dental Assoc Inc'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 Countryside Dental Assoc Inc was last updated on January 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.