Island Tower Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ISLAND TOWER DENTISTRY PA

Doing business as

Island Tower Dentistry

Practice address

606 Bald Eagle Dr Ste 200
Marco Island, FL 34145-2731

Phone

(239) 394-1004

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Van Dyke, DMD, MA

Title

Dentist

Phone

(239) 394-1004

Specialties & licenses 1

Addresses

Other names 1

• Island Tower Dentistry Doing business as

Locations

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1154016178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BALD EAGLE DR STE 200",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452731",
            "telephone_number": "239-394-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BALD EAGLE DR STE 200",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452731",
            "telephone_number": "239-394-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND TOWER DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "VAN DYKE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "239-394-1004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Tower Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Winslow Hutchinson, D.D.S.
• Bobbyrose Idolyantes
• Aaron Victor Ignacio-Devera Jr.
• Island Hearing Professionals LLC (Gulf Coast Hearing Center)
• Island Rehabilitation Center
• Rockni Jalili, M.D.
• Christine Jandorf
• Esai Jaramillo
• Josephine Vincenza Jasper, MD
• Esmeralda Gizelle Jauregui

• General Practice Dentistry in Marco Island, FL
• Providers in Marco Island, 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 Apr 6, 2023; 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.