Bayview Dental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18561 Issued in FL

Legal business name

BAYVIEW DENTAL INC.

Practice address

3000 E Commercial Blvd
Fort Lauderdale, FL 33308-4382

Phone

(954) 491-1904

Fax

(954) 772-3455

NPI assigned

Apr 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John Destefon, DMD

Title

Owner

Phone

(561) 859-7985

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.

• Thomas Jeson, DDS

  • General Practice Dentistry
  • Fort Lauderdale, FL
  • NPI 1750586566
  NPD (past)

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1467816694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084382",
            "telephone_number": "954-491-1904",
            "fax_number": "954-772-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E COMMERCIAL BLVD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084382",
            "telephone_number": "954-491-1904",
            "fax_number": "954-772-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYVIEW DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "DESTEFON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-859-7985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeano Revelo Bayhon, RPT
• Jessica Denise Baymon-Fullerton
• Lloyd Sato Baynosa, PHYSICAL THERAPIST
• Bayview Chiropractic Center PA
• Bayview Dental Assoc.PA.
• Bayview Dentistry PA
• Bayview Health & Wellness, LLC
• Rose Gisele Bazile
• Be Fehr Counseling LLC
• Be the One Counseling and Services (Be the One)

• General Practice Dentistry in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.