Mid-County Dental Center Inc

Primary specialty

DentistTaxonomy code 122300000X

License

5388 Issued in FL

Legal business name

MID-COUNTY DENTAL CENTER INC

Practice address

4047 Okeechobee Blvd
Suite 219
West Palm Beach, FL 33409-3239

Phone

(561) 640-7600

Fax

(561) 640-8265

NPI assigned

Dec 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Guzauskas, DDS

Title

President

Phone

(561) 640-7600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1154576379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 OKEECHOBEE BLVD",
            "address_2": "SUITE 219",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093239",
            "telephone_number": "561-640-7600",
            "fax_number": "561-640-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 OKEECHOBEE BLVD",
            "address_2": "SUITE 219",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093239",
            "telephone_number": "561-640-7600",
            "fax_number": "561-640-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-COUNTY DENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "GUZAUSKAS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-640-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "5388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.