Ponte Vedra Complete Dentistry, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN0010655 Issued in FL

Legal business name

PONTE VEDRA COMPLETE DENTISTRY, PA

Practice address

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

Phone

(904) 285-7711

NPI assigned

Jul 21, 2006

Last updated

Feb 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric L Townsend, DDSNPI 1306849336

Title

President

Phone

(904) 285-7711

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric L Townsend, DDS

  • General Practice Dentistry
  • Ponte Vedra, FL
  • NPI 1306849336
  NPD (past) Authorized official
• Kristopher Rex Harth, DMD

  • Dentist
  • Ponte Vedra, FL
  • NPI 1679721286
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1346260155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SOLANA RD STE A",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825229",
            "telephone_number": "904-285-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SOLANA RD STE A",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825229",
            "telephone_number": "904-285-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTE VEDRA COMPLETE DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-285-7711",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0010655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas D a Peterkin, M.D.
• Alexis Piarulli, D.C.
• Adam Podraza
• Sarah Poe, PT, DPT
• Ponte Vedra Behavioral Health LLC
• Ponte Vedra Dental Group
• Ponte Vedra Hearing Associates, LLC
• Ponte Vedra Pediatric Dentistry and Orthodontics
• Ponte Vedra Speech Language and Learning LLC
• Ponte Vedra Speech Language and Learning LLC

• Dentist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.