Organization Active NPI

Argyle Dental PLLC

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1447738620
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARGYLE DENTAL PLLC
Practice address
6001 Argyle Forest Blvd Ste 4
Jacksonville, FL 32244-6127
Phone
(904) 771-6838
NPI assigned
Jul 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Stephanie Gomez
Title
Credentialing Supervisor
Phone
(305) 274-2499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6001 Argyle Forest Blvd Ste 4
Jacksonville, FL 32244-6127

Mailing address

6001 Argyle Forest Blvd Ste 4
Jacksonville, FL 32244-6127
Phone (904) 771-6838

National Provider Directory

National Provider Directory

Locations

6001 Argyle Forest Blvd
Ste 4
Jacksonville, FL 32244
Phone (904) 771-6838

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1447738620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 ARGYLE FOREST BLVD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446127",
            "telephone_number": "904-771-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 ARGYLE FOREST BLVD STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446127",
            "telephone_number": "904-771-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARGYLE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "305-274-2499"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.