JNR Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JNR DENTAL

Practice address

2808 Remington Green Cir Ste 100
Tallahassee, FL 32308-3724

Phone

(850) 383-1052

NPI assigned

Oct 5, 2018

Organization subpart

No

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

Authorized official

Name

Rebecca Gottfredsen

Title

Office Manager

Phone

(262) 909-1375

Specialties & licenses 1

Addresses

Other names 2

• GoodSmiles Doing business as
• TCG Dental Specialists Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamala Lyn Good, D.M.D.

  • General Practice Dentistry
  • Tallahassee, FL
  • NPI 1306113444
  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538697600000",
    "number": "1144795188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 MOSSY CREEK LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113638",
            "telephone_number": "850-228-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 REMINGTON GREEN CIR STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083724",
            "telephone_number": "850-383-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JNR DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "GOTTFREDSEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-909-1375"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GoodSmiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TCG Dental Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jimmy Pierre MD & Company
• Cui Jing
• Sandra Jirau
• JMC Medical, LLC
• JMC Tallahassee, LLC
• Alexandra Ariadna Jodar
• Manraj Singh Johal, M.D.
• Ashlee L Johann, M.S. CCC-SLP
• John Bailey, D.O., LLC
• John Ness MD PA

• General Practice Dentistry in Tallahassee, FL
• Providers in Tallahassee, 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 Oct 5, 2018; 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.