Healthcare Provider Details

I. General information

NPI: 1831989144
Provider Name (Legal Business Name): GINTER FAMILY DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4161 CLARK RD
SARASOTA FL
34233-2403
US

IV. Provider business mailing address

4161 CLARK RD
SARASOTA FL
34233-2403
US

V. Phone/Fax

Practice location:
  • Phone: 941-248-0041
  • Fax: 941-248-0080
Mailing address:
  • Phone: 941-248-0041
  • Fax: 941-248-0080

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 Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JESSICA JUNE GINTER
Title or Position: DENTIST
Credential: DDS
Phone: 440-724-4044