Point Meadows Dental Center, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

POINT MEADOWS DENTAL CENTER, INC.

Doing business as

Bradberry Dental

Practice address

10915 Baymeadows Rd, #106
Jacksonville, FL 32256

Phone

(904) 619-6478

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Mr. John William Bradberry

Title

Vice President

Phone

(954) 465-5114

Specialties & licenses 1

Addresses

Other names 1

• Bradberry Dental Doing business as

Practitioners 1

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

• Linh Truong Bradberry, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1841505757

  Single Specialty

  NPD

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1205476496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 TARTUS DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32246",
            "telephone_number": "954-465-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 BAYMEADOWS RD, #106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-619-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINT MEADOWS DENTAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "BRADBERRY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "954-465-5114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradberry Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlotte G. Poger, M.ED., LMHC
• Robert O. Pohl, M.D.
• Serena Grace Pohl
• Anthony P Pohlgeers, MD
• Katherine Wiley Poindexter, PA-C, RDN
• Point Meadows Surgery Center, LLC
• Point Seven Seas Acupuncture Wellness Center, LLC
• Point to Care Logistics LLC
• Girard Lucien Poirier, M.D.
• Nyasha Poitier, MS

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.