NPIMap

Organization Active NPI

Webster Family Dentistry, Inc

  • General Practice Dentistry
  • Milton, FL
National Provider Identifier
1285831776
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WEBSTER FAMILY DENTISTRY, INC
Practice address
5371 Glover LN
Milton, FL 32570-4104
Phone
(850) 623-0379
Fax
(850) 623-9607
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Douglas A Webster, DDSNPI 1467419374
Title
President
Phone
(850) 623-0379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5371 Glover LN
Milton, FL 32570-4104

Mailing address

5371 Glover LN
Milton, FL 32570-4104
Phone (850) 623-0379

Other identifiers 4

IdentifierTypeStateIssuer
577562OtherFLUNITED CONCORDIA
183591OtherFLCOMPBENEFITS
40335OtherFLATLANTIC DENTAL INC
66032OtherFLBCBS OF FL

National Provider Directory

National Provider Directory

Locations

5371 Glover Ln
Milton, FL 32570
Phone (850) 623-0379

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285831776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5371 GLOVER LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704104",
            "telephone_number": "850-623-0379",
            "fax_number": "850-623-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5371 GLOVER LN",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704104",
            "telephone_number": "850-623-0379",
            "fax_number": "850-623-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER FAMILY DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-623-0379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "577562",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPBENEFITS",
            "identifier": "183591",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIC DENTAL INC",
            "identifier": "40335",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "66032",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, 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.

Verify at the official NPI Registry.