Organization Active NPI

George G Collins III, DMD, PA

  • Dentist
  • Vero Beach, FL
National Provider Identifier
1083823538
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14039 Issued in FL
Legal business name
GEORGE G COLLINS III, DMD, PA
Practice address
1575 Indian River Blvd
Suite C-140
Vero Beach, FL 32960-5639
Phone
(772) 770-3246
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George G Collins III, DMDNPI 1902906365
Title
President
Phone
(772) 770-3246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN14039 FL Primary

Addresses

Primary practice location

1575 Indian River Blvd
Suite C-140
Vero Beach, FL 32960-5639

Mailing address

1575 Indian River Blvd
Suite C-140
Vero Beach, FL 32960-5639
Phone (772) 770-3246

National Provider Directory

National Provider Directory

Locations

1575 Indian River Blvd
Ste C140
Vero Beach, FL 32960
Phone (772) 770-3246

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083823538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 INDIAN RIVER BLVD",
            "address_2": "SUITE C-140",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605639",
            "telephone_number": "772-770-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 INDIAN RIVER BLVD",
            "address_2": "SUITE C-140",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605639",
            "telephone_number": "772-770-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE G COLLINS III, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-770-3246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.