L. Carl de Jongh, D.D.S., P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN 5742 Issued in FL

Legal business name

L. CARL DE JONGH, D.D.S., P.A.

Doing business as

Manatee Endodontics

Practice address

2111 59TH St W
Bradenton, FL 34209-7015

Phone

(941) 792-4166

Fax

(941) 792-5435

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. L. Carl De Jongh, DDS

Title

President

Phone

(941) 792-4166

Specialties & licenses 1

Addresses

Other names 1

• Manatee Endodontics Doing business as

Locations

Practitioners 2

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.

• David Douglas Fabre, D.D.S.

  • Endodontics
  • Bradenton, FL
  • NPI 1407984214
  NPD (past)
• Adam Peter Strimer, DMD, MS

  • Endodontics
  • Bradenton, FL
  • NPI 1053460667
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508995242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097015",
            "telephone_number": "941-792-4166",
            "fax_number": "941-792-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097015",
            "telephone_number": "941-792-4166",
            "fax_number": "941-792-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L. CARL DE JONGH, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE JONGH",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-792-4166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN 5742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manatee Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Louise Kurka, FNP, CWS
• Melanie Kurtz, M.S., BCBA
• Brandon Kvistad, RN
• L & W Pediatrics PA (Pediatric Partners)
• L L and B Electrocariograms
• Lisa Marie La Due, EARLY INTERVENTION
• Steven P. La Mania
• La Paz Salon
• Melissa Sue Labrecque, MASSAGE THERAPIST
• Sarah W Labrecque, PT

• Endodontics in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.