Organization Active NPI

West Florida Periodontics and Implant Dentistry, PLLC

  • Periodontics
  • Pensacola, FL
National Provider Identifier
1609765205
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
WEST FLORIDA PERIODONTICS AND IMPLANT DENTISTRY, PLLC
Practice address
6111 N Davis Hwy Ste B
Pensacola, FL 32504-6913
Phone
(850) 476-8418
NPI assigned
Jun 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Mary Joyce, DMDNPI 1992221329
Title
Periodontist
Phone
(850) 476-8418

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

6111 N Davis Hwy Ste B
Pensacola, FL 32504-6913

Mailing address

6111 N Davis Hwy Ste B
Pensacola, FL 32504-6913
Phone (850) 476-8418

Other names 1

  • West Florida Periodontal Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1609765205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6111 N DAVIS HWY STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046913",
            "telephone_number": "850-476-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 N DAVIS HWY STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046913",
            "telephone_number": "850-476-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST FLORIDA PERIODONTICS AND IMPLANT DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "850-476-8418",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Florida Periodontal Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.