Michael Gagaoudakis DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17757 Issued in FL

Legal business name

MICHAEL GAGAOUDAKIS DMD PA

Practice address

814 A1A N
Suite 102
Ponte Vedra, FL 32082-3271

Phone

(904) 686-1576

Fax

(904) 686-1706

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Michael E Gagaoudakis, DMD

Title

President

Phone

(904) 686-1576

Specialties & licenses 1

Addresses

Other names 1

• Michael Gagaoudakis Other name

Locations

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1346493376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 A1A N",
            "address_2": "SUITE 102",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320823271",
            "telephone_number": "904-686-1576",
            "fax_number": "904-686-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 A1A N",
            "address_2": "SUITE 102",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320823271",
            "telephone_number": "904-686-1576",
            "fax_number": "904-686-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GAGAOUDAKIS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "GAGAOUDAKIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-686-1576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN17757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Gagaoudakis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Keenan McQuagge, APRN
• Michelle Melanson
• Nicole Melanson, MD
• Kevin S Merlino, D.C.
• Mia Group
• Ashley Michaux, ARNP
• Elizabeth A Milano, LCSW
• Griffin P Miller Jr., MPT
• Rebecca Armiger Miller, RN
• Tori S Miller, MPT

• 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 Nov 4, 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.