Parker and Pennington Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16105 Issued in FL

Legal business name

PARKER AND PENNINGTON DENTISTRY

Practice address

1541 The Greens Way
Jacksonville Beach, FL 32250-2449

Phone

(904) 280-3347

Fax

(904) 285-0207

NPI assigned

Jun 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey N Pennington, D.M.D.NPI 1780747790

Title

Dentist

Phone

(901) 280-3347

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, and the practitioner matching its NPPES authorized official.

• Jeffrey Neil Pennington, D.M.D

  • General Practice Dentistry
  • Jacksonville Beach, FL
  • NPI 1780747790
  NPD (past) Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215131875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 THE GREENS WAY",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502449",
            "telephone_number": "904-280-3347",
            "fax_number": "904-285-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 THE GREENS WAY",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502449",
            "telephone_number": "904-280-3347",
            "fax_number": "904-285-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER AND PENNINGTON DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "901-280-3347",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Marie Palleschi Winkler
• Palms Therapy Group, LLC
• Lourdes Palomino-Pitocchi, M.D.
• Laura M Paolillo, A.P.
• Lauren Park, COTA/L
• Amanda Nicole Parker, DNP, APRN, FNP-BC
• Wyvette Parker
• Anita Patel, M.D.
• Alexandra Patron
• Shianna Patton

• General Practice Dentistry in Jacksonville Beach, FL
• Providers in Jacksonville Beach, 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 Aug 22, 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.