Active NPI
Periodontics & Implant Dentistry of Boca FL PA
Doing business as Ressler Dental
- Periodontics
- Delray Beach, FL
National Provider Identifier
1184319477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Delray Beach, FL
- NPI 1053527879
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.