Adventure Smiles Pediatric Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19243 Issued in FL

Legal business name

ADVENTURE SMILES PEDIATRIC DENTISTRY

Practice address

5714 21St Ave W
Bradenton, FL 34209-5606

Phone

(941) 792-6272

NPI assigned

Mar 25, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bryan Joseph Morgan, DDS

Title

Owner

Phone

(941) 792-6272

Specialties & licenses 1

Addresses

Other names 1

• Adventure Smiles Pediatric Dentistry and Orthodontics Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1003233396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095606",
            "telephone_number": "941-792-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095606",
            "telephone_number": "941-792-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-792-6272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "19243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Smiles Pediatric Dentistry and Orthodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dental Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.