Active NPI
J&J Dental
- Dentist
- Fort Lauderdale, FL
National Provider Identifier
1477806347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN18561
- Legal business name
- J&J DENTAL
- Practice address
- 30 NE 3Rd St
Fort Lauderdale, FL 33301-1042 - Phone
- (954) 463-7262
- Fax
- (954) 463-7235
- NPI assigned
- Oct 17, 2012
- Last updated
- Oct 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Joseph Destefon, DMD
- Title
- President
- Phone
- (561) 859-7985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN18561 | FL | Primary |
Addresses
Primary practice location
30 NE 3Rd St
Fort Lauderdale, FL 33301-1042
Mailing address
30 NE 3Rd St
Fort Lauderdale, FL 33301-1042
Phone (954) 463-7262
National Provider Directory
National Provider DirectoryLocations
30 NE 3rd St
Fort Lauderdale, FL 33301
Phone (954) 463-7262
Practitioners & affiliated clinicians
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.
-
- Dentist
- Fort Lauderdale, FL
- NPI 1992810881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350432000000",
"number": "1477806347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NE 3RD ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333011042",
"telephone_number": "954-463-7262",
"fax_number": "954-463-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 NE 3RD ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333011042",
"telephone_number": "954-463-7262",
"fax_number": "954-463-7235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J&J DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A",
"authorized_official_last_name": "DESTEFON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-859-7985",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN18561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.