Gretchen B Jungermann, DMD, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN14871 Issued in FL

Practice address

1148 Pelican Bay Dr
Daytona Beach, FL 32119-1381

Phone

(386) 256-2513

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1285693259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W WINGED FOOT CIR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084203",
            "telephone_number": "239-908-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 PELICAN BAY DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321191381",
            "telephone_number": "386-256-2513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 N Orlando Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327514465",
            "country_code": "US",
            "telephone_number": "407-755-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNGERMANN",
        "first_name": "GRETCHEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "14871",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN147871",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN14871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simi Joseph, FNP-C
• Shelbi Marie Joustra
• Kelly Vitcenda Joyce, PT
• JTJ Medical Supply, Inc.
• Samantha Leigh Julias, A.T.C.
• Christina Ann Junior, DPT
• Cheyenne Rae Justice
• Erin Grey Kachur, PHARMD
• Harjot Singh Kahlon
• Kailash Pharmacy LLC

• Endodontics in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.