Healthcare Provider Details

I. General information

NPI: 1760399570
Provider Name (Legal Business Name): JOURNEY DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6003 HONORE AVE STE 102
SARASOTA FL
34238-5717
US

IV. Provider business mailing address

6003 HONORE AVE STE 102
SARASOTA FL
34238-5717
US

V. Phone/Fax

Practice location:
  • Phone: 941-529-0345
  • Fax:
Mailing address:
  • Phone: 941-529-0345
  • Fax: 941-529-0360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DANIEL PURCELL
Title or Position: MANAGER
Credential:
Phone: 941-529-0348