Organization Active NPI

Economy Dentures of Hudson LLC

  • General Practice Dentistry
  • Hudson, FL
National Provider Identifier
1487897575
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 8243 Issued in FL
Legal business name
ECONOMY DENTURES OF HUDSON LLC
Practice address
12123 Little Rd
Hudson, FL 34667-2924
Phone
(727) 862-5474
NPI assigned
Apr 20, 2009
Organization subpart
Yes
Parent organization
ECONOMY DENTURESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Dr. Leroy R Polite, D.M.D
Title
Owner
Phone
(904) 696-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN 8243 FL Primary

Addresses

Primary practice location

12123 Little Rd
Hudson, FL 34667-2924

Mailing address

1680 Dunn Ave
Suite 31
Jacksonville, FL 32218-4782
Phone (904) 696-6767

National Provider Directory

National Provider Directory
Part of
Economy Dentures

Locations

12123 Little Rd
Hudson, FL 34667
Phone (727) 379-9250

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1487897575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 DUNN AVE",
            "address_2": "SUITE 31",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184782",
            "telephone_number": "904-696-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12123 LITTLE RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346672924",
            "telephone_number": "727-862-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMY DENTURES OF HUDSON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ECONOMY DENTURES",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "POLITE",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-696-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 8243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.