DRS Etheredge & Schry Dental

Primary specialty

DentistTaxonomy code 122300000X

License

15646 Issued in FL

Legal business name

DRS ETHEREDGE & SCHRY DENTAL

Practice address

3365 Burns Rd Ste 212
Palm Beach Gardens, FL 33410-4308

Phone

(561) 627-9056

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Charles Etheredge

Title

Dentist/Owner

Phone

(561) 627-9056

Specialties & licenses 2

Addresses

Other names 1

• Smiles In The Gardens Doing business as

Tax ID family

DRS Etheredge Schry Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• DRS Etheredge & Schry Dental

  • Dental Clinic/Center
  • Palm Beach Gardens, FL
  • NPI 1033446026
  NPD tax ID

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1184090680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 212",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 BURNS RD STE 212",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104308",
            "telephone_number": "561-627-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS ETHEREDGE & SCHRY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "ETHEREDGE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "561-627-9056"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "15646",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles In The Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dragonfly Counseling & Mediation, LLC
• Dream Bigger Children'S Foundation
• Dream Medical Group, LLC
• Julie Kristin Drouillard, RN
• DRS Etheredge & Schry Dental
• DRS Penner, Norris, Routman, PA
• Dubarry Chiropractic, Inc.
• Etienne Dubarry, DC
• Catherine Maxine Dubois, APRN
• Ruth Ducasse

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.