Provider Demographics
NPI:1215078993
Name:SEARS & SEARS, D.D.S., P.A.
Entity type:Organization
Organization Name:SEARS & SEARS, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:T
Authorized Official - Last Name:SEARS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:904-285-3128
Mailing Address - Street 1:35 EXECUTIVE WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-1000
Mailing Address - Country:US
Mailing Address - Phone:904-285-3128
Mailing Address - Fax:904-285-3128
Practice Address - Street 1:35 EXECUTIVE WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-1000
Practice Address - Country:US
Practice Address - Phone:904-285-3128
Practice Address - Fax:904-285-3128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 34211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty