Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Club Dental Care

Organization Dentist · NPI 1497082796

Country Club Dental Care is a Dentist in Titusville, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
Specialties on file
2

Practice location Address checks out

214 Country Club Dr
Titusville, FL 32780-8605
Phone: (321) 269-1242
Fax: (321) 269-4477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 11533 (FL)
Dentist Taxonomy 122300000X · Licence 9681 (FL)

Record details

NPI number1497082796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Wardner — Dentist · (321) 269-1242
NPI enumeratedNovember 6, 2009
Last updated in NPPESNovember 6, 2009
Mailing address214 Country Club Dr, Titusville, FL 32780-8605

Other providers in Titusville