Palm Beach Blvd Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12356 Issued in FL

Legal business name

PALM BEACH BLVD DENTAL

Practice address

4901 Palm Beach Blvd Unit 110
Fort Myers, FL 33905-3244

Phone

(941) 957-3703

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Andrew J Martineau, DMD

Title

Dentist/Owner

Phone

(941) 957-3703

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1245654565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 PALM BEACH BLVD UNIT 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 PALM BEACH BLVD UNIT 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339053244",
            "telephone_number": "941-957-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH BLVD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "MARTINEAU",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "941-957-3703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Palenik
• Milena Palenzuela, CCC/SLP
• Steven H Paletsky, MD
• Herbert Allen Pallas
• Palm Acupuncture, Inc
• Palm Beach Medical Center Inc
• Palm Podiatry, LLC
• Adrian Padurean Palmer, M.D.
• Dayanna Atoi Palmer
• McKenzie Palmer

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, 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 Feb 6, 2014; 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.