Slavoljub Djuric, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN12887 Issued in FL

Practice address

461 E Ten Mile Rd
Pensacola, FL 32534-9712

Phone

(850) 474-0038

Fax

(850) 474-0055

NPI assigned

May 23, 2006

Last updated

Oct 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Dental, Inc

  • Dentist
  • Pensacola, FL
  • NPI 1780073189
  Authorized official Same address or phone

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1407801244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 E TEN MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349712",
            "telephone_number": "850-474-0038",
            "fax_number": "850-474-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 E TEN MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349712",
            "telephone_number": "850-474-0038",
            "fax_number": "850-474-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJURIC",
        "first_name": "SLAVOLJUB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Franklin Dixon, M.D.
• Regina Bartran Dixon, LMHC
• Sharmaine L Dixon
• Yolanda Dixon
• Djuric Chiropractic
• Vladimir Djuric, DC
• DLC Delta, Inc. (Orthogenetics)
• Dmddds, Inc.
• George Michael Dmytrenko, M.D., PH.D.
• DN Courier Services 'LLC'

• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.