Affordable Dentures & Implants - Florida, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AFFORDABLE DENTURES & IMPLANTS - FLORIDA, PLLC

Practice address

5986 20TH St
Vero Beach, FL 32966

Phone

(877) 297-6743

NPI assigned

Aug 20, 2021

Organization subpart

No

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

Authorized official

Name

Charles Gillam

Title

Owner

Phone

(877) 297-6743

Specialties & licenses 1

Addresses

Tax ID family

Affordable Dentures Implants - Florida PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Affordable Dentures & Implants - Florida, PLLC

  • Dentist
  • Jacksonville, FL
  • NPI 1316536402
  NPD tax ID
• Affordable Dentures & Implants - Florida, PLLC

  • Dentist
  • Orlando, FL
  • NPI 1780357145
  NPD tax ID

Locations

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1396411153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5986 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32966",
            "telephone_number": "877-297-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5986 20TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32966",
            "telephone_number": "877-297-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "GILLAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-297-6743"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.