Active NPI
Jacobs and Thatcher Dentistry, PLLC
- General Practice Dentistry
- Sun City Center, FL
National Provider Identifier
1407244189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JACOBS AND THATCHER DENTISTRY, PLLC
- Practice address
- 1601 Rickenbacker Dr
Suite #7
Sun City Center, FL 33573-5332 - Phone
- (813) 634-1932
- Fax
- (813) 634-8612
- NPI assigned
- Jan 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan R. Thatcher, D.M.D.
- Title
- Managing Member
- Phone
- (813) 634-1932
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Prosthodontics | 1223P0700X |
Addresses
Primary practice location
1601 Rickenbacker Dr
Suite #7
Sun City Center, FL 33573-5332
Mailing address
1601 Rickenbacker Dr
Suite #7
Sun City Center, FL 33573-5332
Phone (813) 634-1932
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420156800000",
"number": "1407244189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 RICKENBACKER DR",
"address_2": "SUITE #7",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735332",
"telephone_number": "813-634-1932",
"fax_number": "813-634-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 RICKENBACKER DR",
"address_2": "SUITE #7",
"city": "SUN CITY CENTER",
"state": "FL",
"postal_code": "335735332",
"telephone_number": "813-634-1932",
"fax_number": "813-634-8612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACOBS AND THATCHER DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-02",
"last_updated": "2015-01-02",
"status": "A",
"authorized_official_last_name": "THATCHER",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "813-634-1932",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sun City Center, FL
- Integrated Regional Laboratories Pathology Services, LLC
- Integrative Surgical Associates, LLC
- Ruben Daniel Irizarry, PHARM.D.
- Edward G Izzo Jr., MD
- Jordan Van Jackson, DO
- Thomas Gregory Jacobs, DDS
- Deepali Yogendrabhai Jain, M.D.
- Jaslinks Home Health Inc
- Javed Hafeez, M.D., P.a.
- Diane Louise Jeffery, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.