Jupiter Family Dentistry in Jupiter - Dentist

Jupiter Family Dentistry - NPI 1407011141

Jupiter Family Dentistry is a Dentist in Jupiter, Florida. Jupiter Family Dentistry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jupiter Family Dentistry is 1407011141. The last update date is 2008-07-22.

Jupiter Family Dentistry's current location address is 6779 W Indiantown Rd, Jupiter, Florida. You can contact this provider via phone number 5617462332 and fax number 5617461815. The mailing address for Jupiter Family Dentistry is 6779 W Indiantown Rd, Jupiter, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jupiter Family Dentistry
Address 6779 W Indiantown Rd, Jupiter, Florida
Phone Number 5617462332
Fax Number 5617461815
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Wolfe L Donald
Credentials DDS
Telephone Number 5617462332

NPI Number Detail

NPI Number 1407011141
Provider Enumeration Date 2008-07-22
Last Updated Date 2008-07-22

Provider Mailing Address Detail

Address 6779 W Indiantown Rd
City Jupiter
State Florida (FL)
Post Code 33458
Phone Number 5617462332
Fax Number 5617461815

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 10203
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60589 BLUE CROSS BLUE SHEILD
443467 UNITED CONCORDIA

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FAQs about Jupiter Family Dentistry

What is the Jupiter Family Dentistry's 1407011141?

The Jupiter Family Dentistry's NPI (National Provider Identifier) Number is 1407011141. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Jupiter Family Dentistry located?

The Jupiter Family Dentistry is located at 6779 W Indiantown Rd, Jupiter, FL 33458.

What is Jupiter Family Dentistry's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jupiter Family Dentistry's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date was the 1407011141 assigned to Jupiter Family Dentistry?

The Jupiter Family Dentistry was issued its 1407011141 on 2008-07-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jupiter Family Dentistry most recently updated or revised?

The details related to Jupiter Family Dentistry, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-22.

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