Organization Active NPI

Advanced Dental Center, PA

  • Durable Medical Equipment & Medical Supplies
  • Pensacola, FL
National Provider Identifier
1356744254
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED DENTAL CENTER, PA
Practice address
6601 N Davis Hwy
Ste 8
Pensacola, FL 32504-6209
Phone
(850) 478-8005
NPI assigned
Oct 6, 2014
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED DENTAL CENTER, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Andrew P TaylorNPI 1508846395
Title
Dentist
Phone
(850) 478-8005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Dentist 122300000X FL

Addresses

Primary practice location

6601 N Davis Hwy
Ste 8
Pensacola, FL 32504-6209

Mailing address

6601 N Davis Hwy
Ste 8
Pensacola, FL 32504-6209
Phone (850) 478-8005

National Provider Directory

National Provider Directory
Part of
Advanced Dental Center PA

Locations

6601 N Davis Hwy
Ste 8
Pensacola, FL 32504
Phone (850) 478-8005

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1356744254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 N DAVIS HWY",
            "address_2": "STE 8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046209",
            "telephone_number": "850-478-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N DAVIS HWY",
            "address_2": "STE 8",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046209",
            "telephone_number": "850-478-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CENTER, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED DENTAL CENTER, PA",
        "enumeration_date": "2014-10-06",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "850-478-8005"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.