Organization Active NPI

Smart Arches Dental Implants of Florida, PLLC

  • Dental Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1619705456
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMART ARCHES DENTAL IMPLANTS OF FLORIDA, PLLC
Practice address
13770 Beach Blvd Ste 6
Jacksonville, FL 32224-7227
Phone
(904) 644-4491
NPI assigned
Jul 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
R Patricia Hower
Title
Credentialing Specialist
Phone
(302) 981-7314

Specialties & licenses 1

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

Addresses

Primary practice location

13770 Beach Blvd Ste 6
Jacksonville, FL 32224-7227

Mailing address

13770 Beach Blvd Ste 6
Jacksonville, FL 32224-7227

National Provider Directory

National Provider Directory

Locations

13770 Beach Blvd
Ste 6
Jacksonville, FL 32224
Phone (904) 242-4220

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1619705456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13770 BEACH BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13770 BEACH BLVD STE 6",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247227",
            "telephone_number": "904-644-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART ARCHES DENTAL IMPLANTS OF FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "HOWER",
        "authorized_official_first_name": "R PATRICIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "302-981-7314"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 23, 2024; 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.