Pensacola Periodontics and Implant Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PENSACOLA PERIODONTICS AND IMPLANT DENTISTRY

Practice address

4357 Spanish TRL
Pensacola, FL 32504-4942

Phone

(850) 433-1543

Fax

(850) 433-1564

NPI assigned

Dec 28, 2020

Organization subpart

No

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

Authorized official

Name

Judy Noble

Title

Practice Administrator

Phone

(850) 433-1543

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David R. Williams, DDS

  • Periodontics
  • Pensacola, FL
  • NPI 1942216015
  NPD

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1194312975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4357 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044942",
            "telephone_number": "850-433-1543",
            "fax_number": "850-433-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4357 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325044942",
            "telephone_number": "850-433-1543",
            "fax_number": "850-433-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENSACOLA PERIODONTICS AND IMPLANT DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "850-433-1543"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pensacola Pediatrics PA
• Pensacola Pediatrics, PA
• Pensacola Pediatrics, PA
• Pensacola Pediatrics, PA
• Pensacola Pelvic Health, LLC
• Pensacola Physical Medicine Inc
• Pensacola Podiatry, P.a.
• Pensacola Primary Care Inc
• Pensacola Primary Care Inc
• Pensacola Primary Care Inc

• Dental Clinic/Center in Pensacola, FL
• Providers in Pensacola, 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 Dec 28, 2020; 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.