Harbour Dental Care St. Johns, P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

HARBOUR DENTAL CARE ST. JOHNS, P.A.

Doing business as

Harbour Dental Care

Practice address

130 Gateway Cir
Jacksonville, FL 32259-2407

Phone

(904) 220-7800

NPI assigned

Mar 26, 2021

Last updated

Mar 26, 2021By 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. Kevin William Snyder, DDSNPI 1699089086

Title

President

Phone

(904) 220-7800

Specialties & licenses 1

Addresses

Other names 1

• Harbour Dental Care Doing business as

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.

• Kevin W Snyder, DDS

  • Dentist
  • Jacksonville, FL
  • NPI 1699089086
  Authorized official Same address or phone

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1255918074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GATEWAY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322592407",
            "telephone_number": "904-220-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GATEWAY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322592407",
            "telephone_number": "904-220-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR DENTAL CARE ST. JOHNS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-220-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbour Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Happy Hearts & Minds LLC
• Happy Hearts Provider Services
• Harbor Counseling and Psychological Services, LLC
• Harborchase of Jacksonville, Inc. (HarborChase of Jacksonville)
• Harbour Dental Care Partners PLLC (Harbour Dental Care)
• Cerise Persia Harbour, A.P.
• Susan Harcke, PA-C
• Nona Hardaman
• Lashawn Hardeman
• Harden-Givens Enterprise , LLC (overflow pharmacy)

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.