Organization Active NPI

Mid-County Dental Center Inc

  • Dentist
  • West Palm Beach, FL
National Provider Identifier
1154576379
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Authorized official

Name
Dr. Robert Guzauskas, DDSNPI 1184065096
Title
President
Phone
(561) 640-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5388 FL Primary

Addresses

Primary practice location

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

Mailing address

4047 Okeechobee Blvd
Suite 219
West Palm Beach, FL 33409-3239
Phone (561) 640-7600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • 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.