Active NPI
Family Smile Dentistry P.a.
- General Practice Dentistry
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN14594
- Legal business name
- FAMILY SMILE DENTISTRY P.A.
- Practice address
- 9090 58TH Dr E Ste 300
Bradenton, FL 34202-6112 - Phone
- (941) 345-1100
- Fax
- (941) 345-1099
- NPI assigned
- Feb 7, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dora Elena Jarquin, D.M.D.
- Title
- Dentist
- Phone
- (941) 345-1100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN14594 | FL | Primary |
Addresses
Primary practice location
9090 58TH Dr E Ste 300
Bradenton, FL 34202-6112
Mailing address
9090 58TH Dr E Ste 300
Bradenton, FL 34202-6112
Phone (941) 345-1100
National Provider Directory
National Provider Directory- Tax ID family
- Family Smile Dentistry PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Bradenton, FL
- NPI 1851431191
Practitioners & affiliated clinicians
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.
-
- General Practice Dentistry
- Bradenton, FL
- NPI 1407006604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1275673683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9090 58TH DR E STE 300",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342026112",
"telephone_number": "941-345-1100",
"fax_number": "941-345-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9090 58TH DR E STE 300",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342026112",
"telephone_number": "941-345-1100",
"fax_number": "941-345-1099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY SMILE DENTISTRY P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JARQUIN",
"authorized_official_first_name": "DORA",
"authorized_official_middle_name": "ELENA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "941-345-1100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN14594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- 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.