OrganizationActive
Country Club Dental Care
NPI 1497082796 · Dentist · Titusville, FL
Country Club Dental Care is a Dentist organization in Titusville, FL (NPI 1497082796).
Provider details
- NPI number
- 1497082796
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- James Wardner, Dentist(321) 269-1242
- License
- 9681 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
214 Country Club Dr
Titusville, FL 32780-8605
Phone: (321) 269-1242
Fax: (321) 269-4477
Street-level locationGet directions
Mailing address
214 Country Club Dr
Titusville, FL 32780-8605
Registry dates
- Enumerated
- 2009-11-06
- Last updated
- 2009-11-06
Frequently asked questions
- What is Country Club Dental Care's NPI number?
- Country Club Dental Care's National Provider Identifier (NPI) is 1497082796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Club Dental Care?
- Country Club Dental Care is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Country Club Dental Care located?
- Country Club Dental Care's practice location on file with NPPES is 214 Country Club Dr, Titusville, FL 32780-8605.
- What is Country Club Dental Care's phone number?
- The practice phone number listed in the NPPES registry for Country Club Dental Care is (321) 269-1242.
- Who is the authorized official for Country Club Dental Care?
- The authorized official listed on Country Club Dental Care's NPPES record is James Wardner, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Club Dental Care's NPI active?
- Yes — Country Club Dental Care's NPI (1497082796) is active in the NPPES registry as of the last update on 2009-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.