Dental Service Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SERVICE GROUP LLC

Practice address

1960 25TH Ave Ste 101
Vero Beach, FL 32960-3015

Phone

(772) 774-7787

Fax

(772) 774-7877

NPI assigned

Jul 24, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Martin, DMD

Title

Managing Member / Dentist

Phone

(772) 774-7787

Specialties & licenses 1

Addresses

Other names 1

• Contemporary Care Dentistry Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1730733163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 25TH AVE STE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603015",
            "telephone_number": "772-774-7787",
            "fax_number": "772-774-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 25TH AVE STE 101",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603015",
            "telephone_number": "772-774-7787",
            "fax_number": "772-774-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERVICE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGING MEMBER / DENTIST",
        "authorized_official_telephone_number": "772-774-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIPPA Compliant Encrypted Email Service",
            "address_1": "1960 25th Ave Ste 101",
            "city": "Vero Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329603015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Contemporary Care Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Demsick, RMHI
• Denise M Pieczynski, DMD, PA
• Dental Buddies of Vero Beach
• Dental Buddies of Vero Beach
• Dental Partners of Vero Beach PLLC
• Brian J Deonarine, MD
• Dermody Pediatric Dentistry & Orthodontics
• Christopher Mark Dermody, DMD
• Francis Joseph Dermody Jr., DMD
• Ann Derosa, PT

• General Practice Dentistry in Vero Beach, FL
• Providers in Vero 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 Jul 24, 2019; 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.