Demetrius Marketing LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN13779 Issued in FL

Legal business name

DEMETRIUS MARKETING LLC

Practice address

2570 South Atlantic Ave.
Marina Dental Center
Daytona Beach Shores, FL 32118

Phone

(386) 304-2679

NPI assigned

Feb 29, 2012

Organization subpart

No

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

Authorized official

Name

Cynthia J Popa, DDS

Title

Dentist

Phone

(407) 212-2194

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1104190792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SHROPSHIRE LOOP",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 SOUTH ATLANTIC AVE.",
            "address_2": "MARINA DENTAL CENTER",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "32118",
            "telephone_number": "386-304-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRIUS MARKETING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "POPA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "407-212-2194",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Daytona Beach Shores, FL
• Providers in Daytona Beach Shores, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.