Midtown Dental of Jacksonville

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

MIDTOWN DENTAL OF JACKSONVILLE

Practice address

2801 Saint Johns Bluff Rd S
Suite 1
Jacksonville, FL 32246-3761

Phone

(904) 641-3777

Fax

(904) 641-2146

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Crystal L Less

Title

VP of Operations

Phone

(904) 998-7000

Specialties & licenses 1

Addresses

Practitioners 2

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

• Vinice Enice Hutchins, D.M.D

  • Dentist
  • Jacksonville, FL
  • NPI 1548591050
  NPD (past)
• Charles Evan Schutt, DDS

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1639142037
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1487737441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545-1 ST. JOHNS BLUFF RD. S.",
            "address_2": "SUITE 352",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "904-998-7000",
            "fax_number": "904-998-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 SAINT JOHNS BLUFF RD S",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463761",
            "telephone_number": "904-641-3777",
            "fax_number": "904-641-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN DENTAL OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "LESS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "904-998-7000"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kameron Middleton
• Martiza Middleton
• Saundra Middleton, DMD
• Trina Middleton
• Leigh Macierowski Midkiff, PA-C
• Midwife Hope Terrell LLC
• Emmanuel T. Miel Jr., MD
• Mielke Group, Inc.
• Catherine Mielke, APRN, CNS
• Jeannine Boyle Mielke, PHD

• Preferred Provider Organization in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.