Associated Dental Professionals PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ASSOCIATED DENTAL PROFESSIONALS PLLC

Practice address

6390 W Indiantown Rd
Suite 32
Jupiter, FL 33458-4607

Phone

(561) 250-6307

Fax

(561) 431-8169

NPI assigned

Dec 6, 2016

Organization subpart

No

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

Authorized official

Name

Wade Harrouff, DDS

Title

Owner

Phone

(561) 999-9650

Specialties & licenses 1

Addresses

Other names 1

• Appearance Implant Dental Doing business as

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1114461456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 BROKEN SOUND PKWY",
            "address_2": "SUITE 250",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334873507",
            "telephone_number": "561-999-9650",
            "fax_number": "561-431-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6390 W INDIANTOWN RD",
            "address_2": "SUITE 32",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584607",
            "telephone_number": "561-250-6307",
            "fax_number": "561-431-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTAL PROFESSIONALS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "HARROUFF",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-999-9650",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appearance Implant Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.