Curtis Marc Standish, D.M.D., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CURTIS MARC STANDISH, D.M.D., P.A.

Doing business as

Eagle Harbor Dental

Practice address

1700 Eagle Harbor Pkwy
Fleming Island, FL 32003-8329

Phone

(904) 269-6558

Fax

(904) 278-9292

NPI assigned

Jun 3, 2024

Last updated

Oct 3, 2024By 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. Kelly Theresa Standish-Mayo, DMD

Title

Dentist / Owner

Phone

(904) 269-6558

Specialties & licenses 1

Addresses

Other names 1

• Eagle Harbor Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Standish, DMD

  • Dentist
  • Orange Park, FL
  • NPI 1538515796
  NPD

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1700627981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 EAGLE HARBOR PKWY",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038329",
            "telephone_number": "904-269-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 EAGLE HARBOR PKWY",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038329",
            "telephone_number": "904-269-6558",
            "fax_number": "904-278-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS MARC STANDISH, D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "STANDISH-MAYO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "904-269-6558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Harbor Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagle Harbor Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cowford Medical LLC
• Craig P Kurtz LMHC, PA
• Charlotte Crawford, LMT
• Lauren E Crawford, DMD
• Annette Louise Croskey-Zivkovic, DC
• Richard D Curtis, MD.
• Sara Elizabeth D'Marie, PSYD
• Adam Peter Dahlman, LMHC
• Bridget Kaitlin Dame
• Dan E. Skaggs DDS PA

• General Practice Dentistry in Fleming Island, FL
• Providers in Fleming Island, 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 Oct 3, 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.