Florida Avenue Dentistry, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12541 Issued in FL

Legal business name

FLORIDA AVENUE DENTISTRY, P.A.

Practice address

1212 N Florida Avenue
Lakeland, FL 33805

Phone

(863) 686-2268

Fax

(863) 603-0688

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Joe N Pinkston, D.D.S.

Title

President

Phone

(863) 686-2268

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505174400000",
    "number": "1740326321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91966",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338041966",
            "telephone_number": "863-686-2268",
            "fax_number": "863-603-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 N FLORIDA AVENUE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33805",
            "telephone_number": "863-686-2268",
            "fax_number": "863-603-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA AVENUE DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2017-09-12",
        "status": "A",
        "authorized_official_last_name": "PINKSTON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-686-2268",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "12541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelivette Marie Flores
• Pedro J Flores, MD
• Tonya Flores, LCSW
• William Flores, LCSW/CAP
• Floret Counseling LLC
• Florida Bright Minds Therapy LLC
• Florida Counseling Solutions LLC
• Florida Department of Health
• Florida Department of Health
• Florida Em-I Medical Services PA

• General Practice Dentistry in Lakeland, FL
• Providers in Lakeland, 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 12, 2017; 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.