West Third Dental Care Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN005701 Issued in FL

Legal business name

WEST THIRD DENTAL CARE CENTER

Practice address

235 W 3Rd Street
Jacksonville, FL 32206-4910

Phone

(904) 356-0243

Fax

(904) 356-0602

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William M Fleischmann, DDS

Title

President

Phone

(904) 356-0243

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1508051228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 3RD STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064910",
            "telephone_number": "904-646-3089",
            "fax_number": "904-356-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 3RD STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322064910",
            "telephone_number": "904-356-0243",
            "fax_number": "904-356-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST THIRD DENTAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "FLEISCHMANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-356-0243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN005701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075875500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cassidy West-Santos, MD
• Aaron James West, MD
• Holly Michelle West, MSN, APRN, PMHNP-BC
• Jacqueline Lee West, DMD
• Janet West, MD

• All providers in Jacksonville, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.