Healthcare Provider Details

I. General information

NPI: 1922935634
Provider Name (Legal Business Name): ANYTIME DENTAL CENTERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2235 N COURTENAY PKWY
MERRITT ISLAND FL
32953-5213
US

IV. Provider business mailing address

3908 SPYGLASS HILL LN
MIDDLEBURG FL
32068-9116
US

V. Phone/Fax

Practice location:
  • Phone: 321-352-6740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: JOE SHIPPEE
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 904-472-3839