All Dental Services Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

1520 Issued in PR

Legal business name

ALL DENTAL SERVICES INC

Practice address

600 Fernandez Juncos Ave
Cond Golden Triangle Realty
San Juan, PR 00907

Phone

(787) 725-3440

Fax

(787) 724-4513

NPI assigned

Feb 5, 2013

Last updated

Feb 5, 2013By 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

Dr. David Santiago, 1520

Title

President

Phone

(787) 725-3440

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1225377658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FERNANDEZ JUNCOS AVE",
            "address_2": "COND GOLDEN TRIANGLE REALTY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-725-3440",
            "fax_number": "787-724-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FERNANDEZ JUNCOS AVE",
            "address_2": "COND GOLDEN TRIANGLE REALTY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-725-3440",
            "fax_number": "787-724-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL DENTAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-725-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "1520"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1520",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PR",
            "license": "1520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE OF PR",
            "identifier": "1520",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.