NPIMap

Organization Active NPI

Jeffrey R. Slotten

  • Dental Clinic/Center
  • Palatka, FL
National Provider Identifier
1457561672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN10163 Issued in FL
Legal business name
JEFFREY R. SLOTTEN
Practice address
205 Zeagler Dr
Suite 502
Palatka, FL 32177-3888
Phone
(386) 328-1500
Fax
(382) 328-1179
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey R. Slotten, D.D.S.NPI 1740490945
Title
Dentist Owner
Phone
(386) 328-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN10163 FL Primary

Addresses

Primary practice location

205 Zeagler Dr
Suite 502
Palatka, FL 32177-3888

Mailing address

205 Zeagler Dr
Suite 502
Palatka, FL 32177-3888
Phone (386) 328-1500

National Provider Directory

National Provider Directory

Locations

205 Zeagler Dr
Ste 502
Palatka, FL 32177
Phone (386) 328-1500

Practitioners & affiliated clinicians

Practitioners 2

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457561672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ZEAGLER DR",
            "address_2": "SUITE 502",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773888",
            "telephone_number": "386-328-1500",
            "fax_number": "382-328-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ZEAGLER DR",
            "address_2": "SUITE 502",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773888",
            "telephone_number": "386-328-1500",
            "fax_number": "382-328-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY R. SLOTTEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SLOTTEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "386-328-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN10163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.