Maples, Neal and Winter

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 18277 Issued in FL

Legal business name

MAPLES, NEAL AND WINTER

Doing business as

Advanced Dental Services of Jacksonville

Practice address

9109 Baymeadows Rd
Suite 4
Jacksonville, FL 32256-2014

Phone

(904) 731-0311

Fax

(904) 731-0312

NPI assigned

Jul 19, 2012

Last updated

Jul 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kami Rudolph

Title

Practice Administrator

Phone

(904) 285-8407

Specialties & licenses 1

Addresses

Other names 1

• Advanced Dental Services of Jacksonville Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Michael Kilcoyne, DDS

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1972560829
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1083969687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9109 BAYMEADOWS RD",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562014",
            "telephone_number": "904-731-0311",
            "fax_number": "904-731-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 BAYMEADOWS RD",
            "address_2": "SUITE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562014",
            "telephone_number": "904-731-0311",
            "fax_number": "904-731-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLES, NEAL AND WINTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "KAMI",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "904-285-8407"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 18277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dental Services of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Manzione, NP
• Michael A Mao, MD
• Shennen Ashley Mao, MD
• Andrew William Maples, D.M.D.
• Kirkland Kennedy Maples, DMD
• Rebecca Lynn Maples, PAS2
• Stacy Maples
• William James Maples, M.D.
• Mara Health Centers LLC
• Mara's Lighthouse Counseling Center, LLC

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.