Petrone Family Dentistry, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN19821 Issued in FL

Legal business name

PETRONE FAMILY DENTISTRY, PA

Practice address

1550 Fouraker Rd
Jacksonville, FL 32221-7606

Phone

(904) 783-0917

NPI assigned

Sep 7, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Anthony R Petrone, DMD

Title

Owner/Dentist

Phone

(850) 212-1286

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Proctor, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1427464353
  NPD
• Walter A Kurosko, D.D.S.

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1215112743
  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417475732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 FOURAKER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322217606",
            "telephone_number": "904-783-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 FOURAKER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322217606",
            "telephone_number": "904-783-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRONE FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PETRONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "850-212-1286",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN19821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Petretska, M.D.
• Michele Francesco Petrilli, DC
• Brian Franklin Petrine, PA
• Kristen Petrine, ARNP
• Haley Petrisor, P.T.
• Breenda Petropoulos, COTA
• Joe Petropoulos, PTA
• Steven Petrou, MD
• Olga Petrucelli, MD
• Quinton Pettaway

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.