Gary Thomas Scarlett, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN13685 Issued in FL

Practice address

151 Sawgrass Corners Dr
Ste 102
Ponte Vedra Beach, FL 32082-3553

Phone

(904) 543-0568

Fax

(904) 543-2954

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1023237989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SAWGRASS CORNERS DR",
            "address_2": "STE 102",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823553",
            "telephone_number": "904-543-0568",
            "fax_number": "904-543-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAWGRASS CORNERS DR",
            "address_2": "STE 102",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823553",
            "telephone_number": "904-543-0568",
            "fax_number": "904-543-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARLETT",
        "first_name": "GARY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isil Tugce Sareyyupoglu
• Holly Savino, PNP
• Jennifer Sawyer New, LCSW, MPH
• SB Physical Therapy and Wellness, LLC
• Sbowen, LLC
• Scarlett Rose Schiffer, DNP, APRN
• Joshua G Schmitt, DPT
• Jonathan M Schug, AUD
• Barry M. Schweim, DDS
• Megan N Scott Carlton, M.D.

• General Practice Dentistry in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.