Dimeo Family Dental, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN18566 Issued in FL

Legal business name

DIMEO FAMILY DENTAL, PA

Practice address

5683 SE Crooked Oak Ave
Suite / Unit 4a
Hobe Sound, FL 33455-8319

Phone

(772) 266-0962

Fax

(772) 266-0965

NPI assigned

Jul 6, 2012

Last updated

Jul 6, 2012By 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. Brian Joseph Dimeo, D.D.S.

Title

President / Practice Owner

Phone

(772) 266-0962

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1619232527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5683 SE CROOKED OAK AVE",
            "address_2": "SUITE / UNIT 4A",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334558319",
            "telephone_number": "772-266-0962",
            "fax_number": "772-266-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5683 SE CROOKED OAK AVE",
            "address_2": "SUITE / UNIT 4A",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334558319",
            "telephone_number": "772-266-0962",
            "fax_number": "772-266-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMEO FAMILY DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "DIMEO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT / PRACTICE OWNER",
        "authorized_official_telephone_number": "772-266-0962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.