Gentle Dentists Beaches, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GENTLE DENTISTS BEACHES, LLC

Practice address

3316 3Rd St S Ste 101
Jacksonville Beach, FL 32250-6090

Phone

(904) 731-1919

Fax

(904) 996-0018

NPI assigned

Sep 25, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Cassandra Chesser

Title

Credentialing

Phone

(904) 716-5888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1659855781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19675",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322459675",
            "telephone_number": "904-731-1919",
            "fax_number": "904-996-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 3RD ST S STE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506090",
            "telephone_number": "904-731-1919",
            "fax_number": "904-996-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTISTS BEACHES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "CHESSER",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "904-716-5888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L. Winfield, M.D., P.a.
• Madison Gatewood, DMD
• Nanette Jolie Gauthier, MCD, CCC-SLP
• Lisa Gawronski
• Dianne Frances Gay, RDH
• George M Joseph MD PA
• George S Tellam DPM
• Joe E Gerges El Khoury, M.D.
• Deborah Lane Ghandour, PA-C, DHSC
• Laura Ghasseminia

• General Practice Dentistry in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.