Eric L Townsend, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10655 Issued in FL

Practice address

105 Solana Rd
Ste a
Ponte Vedra, FL 32082-5229

Phone

(904) 285-7711

Fax

(904) 285-3604

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 12, 2024 through Mar 12, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ponte Vedra Complete Dentistry, PA

  • Dentist
  • Ponte Vedra, FL
  • NPI 1346260155
  NPD (past) Authorized official

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306849336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOLANA RD",
            "address_2": "STE A",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825229",
            "telephone_number": "904-285-7711",
            "fax_number": "904-285-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOLANA RD",
            "address_2": "STE A",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825229",
            "telephone_number": "904-285-7711",
            "fax_number": "904-285-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "ERIC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Jackson Thomas, PHD
• Laura Lewis Thompson, RPH
• Ricky Thompson
• Thrive Generations Therapy Group, LLC
• Donald W Tice, D.O.
• Richard W. Townsend, MD
• Minh Tran
• Alyson Mary Triepke
• Mercedes Trimble, B.S., M.ED
• Trunorth Work/Life Solutions

• General Practice Dentistry in Ponte Vedra, FL
• Providers in Ponte Vedra, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.