Joseph Mark Gerlecz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9613 Issued in FL

Practice address

1138 W 26TH St
Lynn Haven, FL 32444-4733

Phone

(850) 265-3334

Fax

(850) 265-6593

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 29, 2021 through Jun 29, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joseph M. Gerlecz, D.D.S., P.a.

  • Dental Clinic/Center
  • Lynn Haven, FL
  • NPI 1821211509
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487877163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 W 26TH ST",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444733",
            "telephone_number": "850-265-3334",
            "fax_number": "850-265-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 W 26TH ST",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444733",
            "telephone_number": "850-265-3334",
            "fax_number": "850-265-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLECZ",
        "first_name": "JOSEPH",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty J. Gaines Sadler
• Arnold C Gangwisch, DMD
• Daniel Matthew Garbett, PHARMD
• Marc Charles Gehrken, MS, BCBA
• David Mark Gentili
• Steven M Gerlecz, DDS
• Salma Ghawji, RDN, LDN
• Brian David Gibson, M.D.
• Brittany Evans Gilbert, R.D.
• Michael S Grandy, DMD

• General Practice Dentistry in Lynn Haven, FL
• Providers in Lynn Haven, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.