Anthony R. Petrone, DMD, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

DN19821 Issued in FL

Legal business name

ANTHONY R. PETRONE, DMD, P.A.

Doing business as

Lane Avenue Family Dentistry

Practice address

1185 Lane Ave S
Suite 6
Jacksonville, FL 32205-6285

Phone

(904) 783-1422

Fax

(904) 781-7883

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Robert Petrone, D.M.D.

Title

Owner

Phone

(904) 783-1422

Specialties & licenses 1

Addresses

Other names 1

• Lane Avenue Family Dentistry Doing business as

Locations

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.

• Joseph Jack Abid, DDS

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1235341223
  NPD (past)

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1437566577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 LANE AVE S",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056285",
            "telephone_number": "904-783-1422",
            "fax_number": "904-781-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 LANE AVE S",
            "address_2": "SUITE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056285",
            "telephone_number": "904-783-1422",
            "fax_number": "904-781-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY R. PETRONE, DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "PETRONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-783-1422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lane Avenue Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Nicholas Antar
• Stephen Anter
• Anthem Lakes
• Anthony Iselborn, DC PA (Iselborn Chiropractic & Sports Medicine)
• Anthony J Potochick OD PA (5 Points Eye Associates)
• Deborah Ellen Anthony, LMHC
• Frank N Anthony, MD
• Lauren Anthony, LCSW
• Shateya Anthony
• Shelly Anthony, RDH

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.