Conway Orchid LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8492 Issued in FL

Legal business name

CONWAY ORCHID LLC

Doing business as

Orchid Dental

Practice address

9301 Highway A1A
Suite 101
Vero Beach, FL 32963-4500

Phone

(772) 581-9597

Fax

(772) 581-3664

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward M Conway Jr., DDS

Title

Partner

Phone

(772) 581-9597

Specialties & licenses 1

Addresses

Other names 1

• Orchid Dental Doing business as

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1346422557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 HIGHWAY A1A",
            "address_2": "SUITE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329634500",
            "telephone_number": "772-581-9597",
            "fax_number": "772-581-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 HIGHWAY A1A",
            "address_2": "SUITE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329634500",
            "telephone_number": "772-581-9597",
            "fax_number": "772-581-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY ORCHID LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "772-581-9597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchid Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dustin Constant, DPM
• Angela Conti
• Jessica Joan Conti, LMHC
• Conway & Bucaj Dentistry Partnership
• Conway & Conway DDS PA (3755 7th Terrace Suite 303)
• Edward Michael Conway Jr., D.D.S.
• Suzanne Tillery Conway, D.D.S.
• Kaitlin Cook, OTR
• Malcolm Cook, NURSE PRACTITIONER
• Anne Stubbs Cooney, LCSW

• General Practice Dentistry in Vero Beach, FL
• Providers in Vero Beach, 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 Jan 22, 2008; 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.