Countryside Dental Assoc Inc is a Dental Clinic in Cooper City, Florida. It is located at 5810 S. Flamingo Rd, Cooper City, FL and its contact number is 954-434-3229. The authorized person for Countryside Dental Assoc Inc is Dr. Michael J Ancona
who is President/dentist of the clinic and their contact number is 954-434-3229. The primary license number for Countryside Dental Assoc Inc is DN8648 (Dentist) in .
Countryside Dental Assoc Inc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Countryside Dental Assoc Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Countryside Dental Assoc Inc |
| Specialization: | Dentistry |
| Clinic Address: | 5810 S. Flamingo Rd, Cooper City,
Florida, 33330-3237 |
| Phone: | 954-434-3229 |
| Fax: | 954-680-6254 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Michael J Ancona |
| Position: | President/dentist |
| Contact Number: | 954-434-3229 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Countryside Dental Assoc Inc clinic are as mentioned below.
| NPI Number: | 1699934646 |
| NPI Enumeration Date: | 05 Jun, 2008 |
| NPI Last Update On: | 20 Jan, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Countryside Dental Assoc Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | DN8648 | | Primary | |
| Dentist | DN8648 | Florida | Secondary | |
| General Practice | DN18066 | Florida | Secondary | |
| Dentist | DN18677 | Florida | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Countryside Dental Assoc Inc
5810 S. Flamingo Rd,
Cooper City, Florida |
| Zip: | 33330-3237 |
| Phone Number: | 954-434-3229 |
| Fax Number: | 954-680-6254 |
Patients can reach Countryside Dental Assoc Inc at
5810 S. Flamingo Rd, Cooper City, Florida or can
call to book an appointment on 954-434-3229.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.