NPIMap

Organization Active NPI

Douglas a Florence DDS PLLC

  • General Practice Dentistry
  • Parkersburg, WV
National Provider Identifier
1093023798
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3450 Issued in WV
Legal business name
DOUGLAS A FLORENCE DDS PLLC
Practice address
417 Grand Park Dr
Suites 109
Parkersburg, WV 26105-4049
Phone
(304) 422-4455
NPI assigned
Sep 16, 2010
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Douglas Andrew Florence, DDSNPI 1841213915
Title
Owner
Phone
(304) 422-4455

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
General Practice Dentistry 1223G0001X 3450 WV Primary

Addresses

Primary practice location

417 Grand Park Dr
Suites 109
Parkersburg, WV 26105-4049

Mailing address

417 Grand Park Dr
Suites 109
Parkersburg, WV 26105-4049
Phone (304) 422-4455

National Provider Directory

National Provider Directory

Locations

417 Grand Park Dr
Ste 109
Parkersburg, WV 26105
Phone (304) 422-4455

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1093023798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR",
            "address_2": "SUITES 109",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054049",
            "telephone_number": "304-422-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 GRAND PARK DR",
            "address_2": "SUITES 109",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261054049",
            "telephone_number": "304-422-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A FLORENCE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "FLORENCE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-422-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "3450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.