Active NPI
George G Collins III, DMD, PA
- Dentist
- Vero Beach, FL
National Provider Identifier
1083823538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN14039
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George G Collins III, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.
-
- Dentist
- Vero Beach, FL
- NPI 1902906365
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.