Conway & Conway DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8492 Issued in FL

Legal business name

CONWAY & CONWAY DDS PA

Doing business as

3755 7th Terrace Suite 303

Practice address

3755 7TH Terrace
Suite 303
Vero Beach, FL 32960-6547

Phone

(772) 569-4118

Fax

(772) 569-9446

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy C Frederick

Title

Business MGR

Phone

(772) 569-4118

Specialties & licenses 3

Addresses

Other names 1

• 3755 7th Terrace Suite 303 Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1548320138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 7TH TERRACE",
            "address_2": "SUITE 303",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606547",
            "telephone_number": "772-569-4118",
            "fax_number": "772-569-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 7TH TERRACE",
            "address_2": "SUITE 303",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606547",
            "telephone_number": "772-569-4118",
            "fax_number": "772-569-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY & CONWAY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS MGR",
        "authorized_official_telephone_number": "772-569-4118",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "8492",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9340",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "19361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3755 7th Terrace Suite 303",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kate Rose Conroy, AU.D.
• Dustin Constant, DPM
• Angela Conti
• Jessica Joan Conti, LMHC
• Conway & Bucaj Dentistry Partnership
• Conway Orchid LLC (Orchid Dental)
• Edward Michael Conway Jr., D.D.S.
• Suzanne Tillery Conway, D.D.S.
• Kaitlin Cook, OTR
• Malcolm Cook, NURSE PRACTITIONER

• General Practice Dentistry in Vero Beach, FL
• Providers in Vero Beach, 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 Apr 17, 2014; 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.