Sean M Altenbach, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18988 Issued in FL

Practice address

8841 San Jose Blvd
Jacksonville, FL 32217-4244

Phone

(904) 448-0441

NPI assigned

Jun 20, 2010

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sean M. Altenbach, D.M.D., P.L.

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1124863865
  NPD Authorized official
• Heather L. Alton DMD PA

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1952629834
  NPD (past)

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1346561743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 KINGS RD",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322663214",
            "telephone_number": "904-422-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174244",
            "telephone_number": "904-448-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENBACH",
        "first_name": "SEAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-20",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina A Altadonna, CRNA
• Abdallah Mahmoud Altantawi, MD
• Altec Diagnostics & Imaging Inc
• Renee E Alten
• Kathryn Jackson Altenbach
• Altercare LLC
• Alissa Alterman, O.D.
• Katherine L. Altis
• Altitude Health Corp I LLC
• Allen Bradley Altman, D.P.T

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, 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 Dec 19, 2012; 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.