Gentle Dental Care
Dentist, General Practice in Port Richey, FL. Organization (NPI-2).
NPI number1508907361
StatusActive
Last updated in NPPESDec 5, 2011
Details
- NPI
- 1508907361
- Entity type
- Organization (NPI-2)
- Legal business name
- Gentle Dental Care
- Organization subpart
- No
- Enumeration date
- Feb 12, 2007
- Last updated
- Dec 5, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN16925 | FL | Yes |
| 1223G0001X | Dentist, General Practice | DN16366 | FL |
Practice location
9316 Us Highway 19Port Richey, FL 34668-4772
Phone 727-849-6838 · Fax 727-842-7081
Mailing address
9316 Us Highway 19Port Richey, FL 34668-4772
Phone 727-849-6838 · Fax 727-842-7081
Authorized official
Chaim Hyman
Dentist
7278496838
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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