Active NPI
Hwang E. Marino, DMD
- General Practice Dentistry
- Orange Park, FL
National Provider Identifier
1285156083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN22786
- Practice address
- 2045 Professional Center Dr
Orange Park, FL 32073-4461 - Phone
- (904) 269-2185
- Fax
- (904) 269-0938
- NPI assigned
- Jul 13, 2017
- Last updated
- Dec 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN22786 | FL | Primary |
Addresses
Primary practice location
2045 Professional Center Dr
Orange Park, FL 32073-4461
Mailing address
2045 Professional Center Dr
Orange Park, FL 32073-4461
Phone (904) 269-2185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22786 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1285156083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 PROFESSIONAL CENTER DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734461",
"telephone_number": "904-269-2185",
"fax_number": "904-269-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 PROFESSIONAL CENTER DR",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320734461",
"telephone_number": "904-269-2185",
"fax_number": "904-269-0938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "HWANG",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-13",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN22786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
- Marced, Inc (Queen of Angels)
- Karl Harold Marcellus, PHARMD
- Jose Luis Marcos-Arenal, DDS, MS
- Maria M. Ramirez. M.D., P.a.
- Haesook Marino, M.D.
- Robert A. Marino, M.D.
- Mary Elizabeth Markey, MPT
- Markus Sonntag MD
- Marlyn Enterprises of Jacksonville, Inc. (Quality Life Center)
- Monica Marquez Marquez, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.