Fetner and Hartigan, Periodontics

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN8387 Issued in FL

Legal business name

FETNER AND HARTIGAN, PERIODONTICS

Practice address

7043 Southpoint Pkwy Ste B
Jacksonville, FL 32216-8742

Phone

(904) 296-8343

Fax

(904) 296-8663

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Alan E. Fetner, D.M.D.NPI 1215015185

Title

Doctor

Phone

(904) 296-8343

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan E Fetner, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1215015185
  NPD (past) Authorized official
• Alexander J Fetner, D.M.D.

  • Periodontics
  • Jacksonville, FL
  • NPI 1518254317
  NPD (past)
• Michael Jordan Fetner, D.M.D., M.S.

  • Periodontics
  • Jacksonville, FL
  • NPI 1871895680
  NPD (past)
• Mary S Hartigan, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1235217100
  NPD (past)

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1053642264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7043 SOUTHPOINT PKWY S STE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168712",
            "telephone_number": "904-296-8343",
            "fax_number": "904-296-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7043 SOUTHPOINT PKWY STE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168742",
            "telephone_number": "904-296-8343",
            "fax_number": "904-296-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETNER AND HARTIGAN, PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "FETNER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "904-296-8343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN8387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla I Ferrugio, APRN
• Megan Fessler, DPT
• Emir Festic, MD
• Nura Festic, M.D.
• James William Fetchero, D.O.
• Alan E Fetner, DMD
• Alexander J Fetner, D.M.D.
• Dina Levin Fetner, D.D.S.
• Howard A Fetner, DMD
• Michael Jordan Fetner, D.M.D., M.S.

• Periodontics in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.