JUPITER DENTAL GROUP, PA (NPI# 1609149400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609149400 |
| Entity Type | Organization |
| Organization Name | JUPITER DENTAL GROUP, PA |
| Practice Address |
175 Toney Penna Dr Ste 105 Jupiter FL 33458-5747 |
| Mailing Address |
13195 Sw 134th St Fl 2 Miami FL 33186-4461 |
| Practice Telephone | 5617453118 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | MS. STEPHANIE GOMEZ (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Telephone | 3052742499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
175 TONEY PENNA DR STE 105 |
| City | JUPITER |
| State | FL |
| Zip Code | 33458-5747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861515025 | Andres Vargas | Dentist | 175 Toney Penna Dr Ste 105, Jupiter, FL 33458-5747 | 2007-04-10 |
| 1316144355 | Main Street Orthodontics of Jupiter | Dentist | 175 Toney Penna Dr Ste 105, Jupiter, FL 33458-5747 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780978 | Palm Beach Concierge Pt, LLC | Physical Therapist | 1166 Egret Cir S, Jupiter, FL 33458 | 2020-04-27 |
| 1346714789 | Shirley Dumas Gilbert | Counselor | 1132 W Indiantown Rd Unit 202, Jupiter, FL 33458 | 2019-01-18 |
| 1326518986 | Donald George Williams Jr. | Pharmacist | 5500 Military Trail, Jupiter, FL 33458 | 2018-11-27 |
| 1306329693 | William A Tison IIi | Physician Assistant | 2055 Military Trail Suite 204, Jupiter, FL 33458 | 2018-09-12 |
| 1588146930 | Joanna Peros | Psychologist | 210 Jupiter Lakes Blvd. Unit 3102, Jupiter, FL 33458 | 2018-09-02 |
| 1528558301 | Brian Pratt | Registered Nurse | 871 University Blvd Apt 207, Jupiter, FL 33458 | 2018-05-16 |
| 1306352133 | Katherine Janis Rivera | Nurse Anesthetist, Certified Registered | Jupiter Medical Center 1210 Old Dixie Hwy, Jupiter, FL 33458 | 2017-12-15 |
| 1992235436 | Barborka Schmidt | Pharmacist | 6650 W Indiantown Road, Suite 100, Aarav Pharmacy LLC, Jupiter, FL 33458 | 2017-06-18 |
| 1114453834 | Elite-e Counseling | Social Worker | 2055 Military Trail Suite 306 Jupiter, Jupiter, FL 33458 | 2017-05-02 |
| 1669910667 | Kristy Lee Caronia | Nurse Anesthetist, Certified Registered | 175 Edenberry Ave, Jupiter, FL 33458 | 2017-02-09 |
| Find all providers in zip 33458 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057483 | Jessica Ashley Singer | Dentist | 901 W Indiantown Rd Ste 30, Jupiter, FL 33458-6811 | 2020-06-12 |
| 1831661735 | Tdc Jupiter, LLC | Dentist | 1230 W Indiantown Rd Ste 101, Jupiter, FL 33458-3904 | 2018-12-18 |
| 1104397090 | Marianna Zadov, P.a | Dentist | 1025 Military Trl Ste 210, Jupiter, FL 33458-7040 | 2018-12-17 |
| 1326566118 | Jupiter Family Dental Pa | Dentist | 6779 W Indiantown Rd Ste 17, Jupiter, FL 33458-3989 | 2017-09-01 |
| 1164960373 | Dental Consultants of Florida, Pllc | Dentist | 3889 Military Trl Ste 102, Jupiter, FL 33458-2923 | 2017-02-08 |
| 1427426188 | K A Dental Group Jupiter, Pa | Dentist | 3755 Military Trl, Suite B2, Jupiter, FL 33458-2703 | 2015-09-10 |
| 1104219344 | Oasis Family Dental Spa, LLC | Dentist | 1096 W Indiantown Rd, Suite #200, Jupiter, FL 33458-6800 | 2015-03-12 |
| 1356748438 | Donald L Wolfe | Dentist | 6779 W Indiantown Rd #17, Jupiter, FL 33458 | 2014-12-04 |
| 1942635693 | M Cosmetic and Family Dentistry, Pa | Dentist | 425 Greenwich Cir Ste 101-102, Jupiter, FL 33458-4807 | 2013-09-12 |
| 1225384472 | Krunal Patel | Dentist | 235 Murray Ct, Jupiter, FL 33458-2903 | 2012-07-25 |
| Find all providers in JUPITER | ||||
Please comment or provide details below to improve the information on JUPITER DENTAL GROUP, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.