Jeffrey Reid Slotten, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN10163 Issued in FL

Practice address

205 Zeagler Dr
Suite 502
Palatka, FL 32177-3888

Phone

(386) 328-1500

Fax

(386) 328-0079

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffrey R. Slotten

  • Dental Clinic/Center
  • Palatka, FL
  • NPI 1457561672
  NPD (past) Authorized official
• PF Dent, PA

  • Dentist
  • Palatka, FL
  • NPI 1790464733
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740490945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 NW 69TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326537016",
            "telephone_number": "352-338-0721",
            "fax_number": "386-328-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ZEAGLER DR",
            "address_2": "SUITE 502",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773888",
            "telephone_number": "386-328-1500",
            "fax_number": "386-328-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOTTEN",
        "first_name": "JEFFREY",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaushalendra Kumar Singh, MD
• Genell Elizabeth Singleton, PHARMD
• Skilled Therapy Services Inc (Kennedy Rehabilitation)
• Sleep Medicine Associates Inc.
• Sleep Medicine Center Inc.
• Sma Healthcare Inc
• Sma Healthcare Inc
• Small Talk Inc
• Lindy Smith, MS, CCC-SLP
• Melvin Smith

• General Practice Dentistry in Palatka, FL
• Providers in Palatka, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.