Healthcare Provider Details

I. General information

NPI: 1699658690
Provider Name (Legal Business Name): GENTLE DENTAL OF FLORIDA PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1608 S TUTTLE AVE
SARASOTA FL
34239-3103
US

IV. Provider business mailing address

6600 S GATOR CREEK BLVD
SARASOTA FL
34241-9721
US

V. Phone/Fax

Practice location:
  • Phone: 941-365-1717
  • Fax: 941-366-2619
Mailing address:
  • Phone: 941-924-7920
  • Fax: 941-924-7956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES BURNE
Title or Position: OWNER
Credential: DDS
Phone: 941-924-7920