John W Faul, DMD, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN08155 Issued in FL

Legal business name

JOHN W FAUL, DMD, PA

Practice address

7435 State Road 21
Suite B
Keystone Heights, FL 32656-9301

Phone

(352) 473-8988

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John W Faul, D.M.D.

Title

President

Phone

(321) 626-7725

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1447469879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SW GROVE ST",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569526",
            "telephone_number": "321-626-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 STATE ROAD 21",
            "address_2": "SUITE B",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569301",
            "telephone_number": "352-473-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W FAUL, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "FAUL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-626-7725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN08155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.