Aegean Dental of Naples, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN15874 Issued in FL

Legal business name

AEGEAN DENTAL OF NAPLES, LLC

Practice address

987 High Point Dr
Naples, FL 34103-3877

Phone

(239) 231-4089

NPI assigned

Nov 3, 2014

Last updated

May 6, 2015By 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

George Soropoulos, DDS, BSME

Title

Manager

Phone

(239) 231-4089

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1225433287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "987 HIGH POINT DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033877",
            "telephone_number": "239-231-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 HIGH POINT DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341033877",
            "telephone_number": "239-231-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGEAN DENTAL OF NAPLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "SOROPOULOS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-231-4089",
        "authorized_official_credential": "DDS, BSME"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Naples, FL
• Providers in Naples, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.