NPIMap

Organization Active NPI

Peachtree Dental PLLC

  • Dental Clinic/Center
  • Bradenton, FL
National Provider Identifier
1376294660
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PEACHTREE DENTAL PLLC
Practice address
1906 59TH St W Ste a
Bradenton, FL 34209-4639
Phone
(941) 795-0144
Fax
(941) 795-7188
NPI assigned
Jan 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Dr. Garrett Dale Folks, DMDNPI 1437643137
Title
Dentist/Owner
Phone
(941) 795-0144

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1906 59TH St W Ste a
Bradenton, FL 34209-4639

Mailing address

1906 59TH St W Ste a
Bradenton, FL 34209-4639
Phone (941) 795-0144

National Provider Directory

National Provider Directory

Locations

1906 59th St W
Ste A
Bradenton, FL 34209
Phone (941) 795-0144

Practitioners & affiliated clinicians

Practitioners 3

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": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1376294660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 59TH ST W STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094639",
            "telephone_number": "941-795-0144",
            "fax_number": "941-795-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 59TH ST W STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094639",
            "telephone_number": "941-795-0144",
            "fax_number": "941-795-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "FOLKS",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "941-795-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.