Matthew J Henry DDS PL

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MATTHEW J HENRY DDS PL

Practice address

14054 Beach Blvd Ste 10
Jacksonville, FL 32250-1596

Phone

(904) 821-8330

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Jackson Henry, DDSNPI 1902967177

Title

Owner

Phone

(305) 336-0554

Specialties & licenses 1

Addresses

Other names 1

• Matthew J Henry DDS PL Doing business as

Practitioners 1

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

• Matthew Jackson Henry, DDS

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1902967177
  NPD (past) Authorized official

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1154890267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13624 MARSH HARBOR DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252641",
            "telephone_number": "305-336-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14054 BEACH BLVD STE 10",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501596",
            "telephone_number": "904-821-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW J HENRY DDS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-336-0554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew J Henry DDS PL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthew J Henry DDS PL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sondra Matter, PH.D.
• Sharae M Matteu, LMT
• Michael John Matteucci, M.D.
• Matthew 725 Inc
• Matthew George Arnp-BC PA
• Brittany Kim Matthew-Wilton, LMHC
• Martins Chima Matthew, M.D.
• Trevanne Rose Matthews Hew, MD
• Brittany Nicole Matthews
• Cortney Irene Matthews

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.