Frederico Tepedino DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18876 Issued in FL

Legal business name

FREDERICO TEPEDINO DMD PA

Doing business as

dental arts of florida

Practice address

7645 Gate Pkwy
Suite 103
Jacksonville, FL 32256-2889

Phone

(904) 998-9820

Fax

(904) 998-6650

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

Frederico TepedinoNPI 1841529583

Title

Dentist

Phone

(904) 998-9820

Specialties & licenses 3

Addresses

Other names 1

• dental arts of florida Doing business as

Practitioners 1

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.

• Frederico Tepedino, DMD

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1841529583
  NPD (past) Authorized official

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1427397058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7645 GATE PKWY",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562889",
            "telephone_number": "904-998-9820",
            "fax_number": "904-998-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7645 GATE PKWY",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562889",
            "telephone_number": "904-998-9820",
            "fax_number": "904-998-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICO TEPEDINO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "TEPEDINO",
        "authorized_official_first_name": "FREDERICO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-998-9820"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN188659",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18876",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN17936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental arts of florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Saige Frazier, PT, DPT
• Fred J. Rahaim, PH.D. P.a.
• Caitlin Marie Fred
• Kevin G Fredenburg, PT
• Marina Frederick, PHARMD, RPH
• Kirsten E Frederiksen, MD
• Peri Fredrick
• Paul Austin Fredrickson, M.D.
• Lauren E Freed, CRNA
• Donald S Freedman MD PA, MD

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, 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 Feb 1, 2013; 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.