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

Last updated

Dec 7, 2011By the provider in NPPES

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.NPI 1821496803

Title

President

Phone

(321) 626-7725

Specialties & licenses 1

Addresses

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.

• John Willard Faul, D.M.D.

  • Dentist
  • New Smyrna Beach, FL
  • NPI 1821496803
  Authorized official Same address or phone

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": []
}

• Cary Lynn Howard, ARNP
• Lauren Ashlee Hughes, DPT
• David H Jarosz, ARNP
• Jax Bax, LLC
• Arielle Jeffers
• Keystone Chiropractic Inc
• Keystone Psychiatry Inc
• Betty J Krause, ARNP
• Lake Area Physical Therapy
• Legacy Home Health Care

• Dental Clinic/Center in Keystone Heights, FL
• Providers in Keystone Heights, 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 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.