Cosmetic Dentistry of Stuart, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10184 Issued in FL

Legal business name

COSMETIC DENTISTRY OF STUART, PLLC

Practice address

725 SE 5TH St
Stuart, FL 34994-2359

Phone

(772) 220-3720

Fax

(772) 221-0574

NPI assigned

Jun 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas A Vincenzo, D.D.S.NPI 1982635850

Title

Dentist/Owner

Phone

(772) 220-3720

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas A Vincenzo, D.D.S.

  • General Practice Dentistry
  • Stuart, FL
  • NPI 1982635850
  NPD (past) Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285660340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SE 5TH ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942359",
            "telephone_number": "772-220-3720",
            "fax_number": "772-221-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SE 5TH ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942359",
            "telephone_number": "772-220-3720",
            "fax_number": "772-221-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC DENTISTRY OF STUART, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINCENZO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "772-220-3720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Stuart, FL
• Providers in Stuart, 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 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.

Verify at the official NPI Registry.