Organization Active NPI

Golden Beil & Horwitz Dentistry Partnership

Doing business as DBA Prestige Dentistry

  • General Practice Dentistry
  • Trinity, FL
National Provider Identifier
1083822035
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN11016 Issued in FL
Legal business name
GOLDEN BEIL & HORWITZ DENTISTRY PARTNERSHIP
Doing business as
DBA Prestige Dentistry
Practice address
1641 Davenport Drive
Trinity, FL 34655
Phone
(727) 789-1980
Fax
(727) 789-4686
NPI assigned
May 21, 2007
Last updated
Dec 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Tammy L Hoover
Title
Office Administrator
Phone
(727) 789-1980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN11016 FL Primary

Addresses

Primary practice location

1641 Davenport Drive
Trinity, FL 34655

Mailing address

1641 Davenport Drive
Trinity, FL 34655
Phone (727) 789-1980

Other names 1

  • DBA Prestige Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1641 Davenport Dr
Trinity, FL 34655
Phone (727) 263-2604

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1083822035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 DAVENPORT DRIVE",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-789-1980",
            "fax_number": "727-789-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 DAVENPORT DRIVE",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-789-1980",
            "fax_number": "727-789-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN BEIL & HORWITZ DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "727-789-1980"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Prestige Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.