MEDICARE: COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS,PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1205697380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS,PA

Provider Business Mailing Address
First Line	:	49545 HIGHWAY 27
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33897-9507
Country	:	US
Telephone Number	:	863-758-2992
Fax Number	:	853-758-2994

Provider Business Practice Location Address
First Line	:	49545 HIGHWAY 27
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33897-9507
Country	:	US
Telephone Number	:	863-758-2992
Fax Number	:	853-758-2994

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	CEMYIRA MCDOUGAL
Credential	:
Telephone Number	:	217-764-8609

Provider Enumeration Date	:	01/17/2024
Last Update Date	:	01/17/2024

Similar Medicare Providers

1518799931 — DR. LANCE JOSEPH DDS
Practice Location Address:

49545 US-27
DAVENPORT, FL
33897-9507

Practice Phone: 863-473-8786
Practice Fax:

1659673713 — HOLIDAY CVS, L.L.C.
Practice Location Address:

49581 US HIGHWAY 27
DAVENPORT, FL
33897-9507

Practice Phone: 863-420-7563
Practice Fax:

1538763834 — DR. ERICA DANG HEUNG PHARMD
Practice Location Address:

49581 HIGHWAY 27
DAVENPORT, FL
33897-9507

Practice Phone: 863-420-7563
Practice Fax:

1255025235 — SAND MINE DENTISTRY, PLLC
Practice Location Address:

49591 HIGHWAY 27 STE 301
DAVENPORT, FL
33897-9507

Practice Phone: 6
Practice Fax:

1073462206 — ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Practice Location Address:

49513 US HIGHWAY 27
DAVENPORT, FL
33897-9507

Practice Phone: 863-588-4811
Practice Fax: 863-588-4812

1790634418 — ADVENTIST HEALTH SYSTEM/SUNBELT, INC
Practice Location Address:

49515 US HWY 27
DAVENPORT, FL
33897-9507

Practice Phone: 863-588-4816
Practice Fax: 863-588-4817

Directions to “COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS,PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.