San Juan Dentistry PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAN JUAN DENTISTRY PA

Practice address

5110 San Juan Ave
Jacksonville, FL 32210

Phone

(904) 551-3083

Fax

(904) 647-9485

NPI assigned

Nov 11, 2021

Organization subpart

No

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

Authorized official

Name

Brandy Uribe

Title

Office Manager

Phone

(904) 551-3083

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gjergji Prendi

  • Dentist
  • Jacksonville, FL
  • NPI 1720751290
  NPD

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1548926835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 SAN JUAN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "904-551-3083",
            "fax_number": "904-647-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 SAN JUAN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "904-551-3083",
            "fax_number": "904-647-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "URIBE",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-551-3083"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Jose Chiropractic, LLC
• San Jose Clinic, P.a.
• San Jose Family Denistry
• San Jose Imaging Center LLC
• San Jose Therapy Services LLC
• San Juan Diagnostics LLC
• San Juan Retirement Home
• San Juan Retirement Home
• San Marco Chiropractic and Wellness Center
• San Marco Dentistry

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.