NPIMap

Organization Active NPI

WH FL Dental PLLC

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1346917812
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WH FL DENTAL PLLC
Practice address
12100 Lem Turner Rd Unit 100
Jacksonville, FL 32218-2304
Phone
(904) 764-2855
Fax
(904) 764-2670
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Adrian Paruas
Title
Owner WH FL Dental PLLC
Phone
(479) 204-1258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

12100 Lem Turner Rd Unit 100
Jacksonville, FL 32218-2304

Mailing address

702 SW 8TH St # Ms 0445
Bentonville, AR 72716-0445
Phone (479) 204-1258

National Provider Directory

National Provider Directory
Tax ID family
Walmart Health23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1346917812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 8TH ST # MS 0445",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727160445",
            "telephone_number": "479-204-1258",
            "fax_number": "479-277-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 LEM TURNER RD UNIT 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182304",
            "telephone_number": "904-764-2855",
            "fax_number": "904-764-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WH FL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "PARUAS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER WH FL DENTAL PLLC",
        "authorized_official_telephone_number": "479-204-1258"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.