Organization Active NPI

Palmetto Dental Center LLC

  • General Practice Dentistry
  • Palmetto, FL
National Provider Identifier
1285024265
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9808 Issued in FL
Legal business name
PALMETTO DENTAL CENTER LLC
Practice address
317 7TH St W
Palmetto, FL 34221-5206
Phone
(941) 729-6883
NPI assigned
Jan 29, 2015
Last updated
Jan 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
J. Scott Maloney, DDS
Title
Dentist
Phone
(941) 729-6883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9808 FL Primary

Addresses

Primary practice location

317 7TH St W
Palmetto, FL 34221-5206

Mailing address

317 7TH St W
Palmetto, FL 34221-5206

National Provider Directory

National Provider Directory

Locations

317 7th St W
Palmetto, FL 34221
Phone (941) 729-6883

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1285024265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 7TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 7TH ST W",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342215206",
            "telephone_number": "941-729-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "J. SCOTT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "941-729-6883",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.