Michael D. Vanover, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16088 Issued in FL

Legal business name

MICHAEL D. VANOVER, D.D.S., P.A.

Practice address

784 Blanding Blvd
Ste 110
Orange Park, FL 32065-8717

Phone

(904) 272-2438

Fax

(904) 272-6376

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Vanover, D.D.S.NPI 1154663961

Title

President

Phone

(904) 272-2438

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael D Vanover, DDS

  • General Practice Dentistry
  • Orange Park, FL
  • NPI 1154663961
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679628382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 BLANDING BLVD",
            "address_2": "STE 110",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658717",
            "telephone_number": "904-272-2438",
            "fax_number": "904-272-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 BLANDING BLVD",
            "address_2": "STE 110",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320658717",
            "telephone_number": "904-272-2438",
            "fax_number": "904-272-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. VANOVER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANOVER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-272-2438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "16088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metro Treatment of Florida, LP
• Jessica R Metz, LMHC
• Whitney Marie Meyers, APRN
• Michael a. Sherman DDS PA
• Michael a. Stephens MD PA
• Michael J. Paulk P.a.
• David Hill Michal, M.D.
• Navin Middela, RPH
• Midiwell
• Miguel Batlle MD PA

• General Practice Dentistry in Orange Park, FL
• Providers in Orange Park, 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 Aug 22, 2020; 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.