Active NPI
Golden Beil & Horwitz Dentistry Partnership
Doing business as DBA Prestige Dentistry
- General Practice Dentistry
- Trinity, FL
National Provider Identifier
1083822035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN11016
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.