Provider Demographics
NPI:1063547875
Name:SPRING HILL FAMILY DENTAL HEALTH CENTER
Entity type:Organization
Organization Name:SPRING HILL FAMILY DENTAL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAUS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS PA
Authorized Official - Phone:352-596-1561
Mailing Address - Street 1:4270 LAKE IN THE WOODS DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34607-2501
Mailing Address - Country:US
Mailing Address - Phone:352-596-1561
Mailing Address - Fax:352-596-8407
Practice Address - Street 1:4270 LAKE IN THE WOODS DR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34607-2501
Practice Address - Country:US
Practice Address - Phone:352-596-1561
Practice Address - Fax:352-596-8407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL53941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty