Organization Active NPI

Periodontics & Implant Dentistry of Boca FL PA

Doing business as Ressler Dental

  • Periodontics
  • Delray Beach, FL
National Provider Identifier
1184319477
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PERIODONTICS & IMPLANT DENTISTRY OF BOCA FL PA
Doing business as
Ressler Dental
Practice address
15300 S Jog Rd Ste 201
Delray Beach, FL 33446-2166
Phone
(561) 499-7400
NPI assigned
Apr 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Mr. Myles McAllister
Title
Chief Operating Officer
Phone
(727) 403-4870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

15300 S Jog Rd Ste 201
Delray Beach, FL 33446-2166

Mailing address

50 Ford Way
Richmond Hill, GA 31324-4438
Phone (912) 225-5054

Other names 1

  • Ressler Dental Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1184319477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 FORD WAY",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313244438",
            "telephone_number": "912-225-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 S JOG RD STE 201",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462166",
            "telephone_number": "561-499-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS & IMPLANT DENTISTRY OF BOCA FL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "MYLES",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "727-403-4870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ressler Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.