CREEKSIDE DERMATOLOGY PA
NPI 1740703818
Dermatology in The Villages, FL

Active since July 20, 2017
8630 E COUNTY ROAD 466 STE A, THE VILLAGES, FL 32162(352) 399-7295(352) 399-7294 Get Directions Write a Review

NPPES record last updated: July 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Creekside Dermatology Pa NPPES

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

CREEKSIDE DERMATOLOGY PA (NPI 1740703818) is a healthcare organization registered as a dermatology in The Villages, Florida and active in the NPI registry since July 2017. The organization lists David Casper, President, as its authorized official.

NPPES Registry Identity

NPI1740703818
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCREEKSIDE DERMATOLOGY PA
Location Address8630 E COUNTY ROAD 466 STE AThe Villages, FL 32162-5614
Mailing Address8620 E County Road 466The Villages, FL 32162-3670 · (352) 399-7295
Fax(352) 399-7294
Organization SubpartNo
Authorized OfficialDavid CasperPresident · (352) 399-7295
Enumeration DateJuly 20, 2017
NPI 1740703818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · 108772
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
8630 E COUNTY ROAD 466 STE A, The Villages, FL 32162

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

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

Home Health
8630 E COUNTY ROAD 466 STE A
THE VILLAGES, FL 32162

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 Creekside Dermatology PA's NPI number?

The NPI number for Creekside Dermatology PA is 1740703818. It was assigned to this organization in the NPPES registry on July 20, 2017.

Where is Creekside Dermatology PA located?

Creekside Dermatology PA is located at 8630 E County Road 466 Ste A, The Villages, FL 32162. The listed phone number is (352) 399-7295.

What is Creekside Dermatology PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Creekside Dermatology PA was last updated on July 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.