Organization Active NPI

Harbour Dental Care Partners PLLC

  • Dental Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1558028290
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HARBOUR DENTAL CARE PARTNERS PLLC
Practice address
130 Gateway Cir
Jacksonville, FL 32259-2407
Phone
(904) 789-3590
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Dr. Kevin William Snyder, DDS
Title
President
Phone
(614) 940-8243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

130 Gateway Cir
Jacksonville, FL 32259-2407

Mailing address

130 Gateway Cir
Jacksonville, FL 32259-2407
Phone (904) 789-3590

Other names 1

  • Harbour Dental Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jacksonville

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1558028290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GATEWAY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322592407",
            "telephone_number": "904-789-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GATEWAY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322592407",
            "telephone_number": "904-789-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR DENTAL CARE PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-940-8243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jacksonville",
            "affiliation": "N",
            "address_1": "130 Gateway Cir",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322592407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Harbour Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.