Jonathan S. Petrover

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN14233 Issued in FL

Legal business name

JONATHAN S. PETROVER

Practice address

6609 Forest Hill Blvd
Greenacres, FL 33413-3303

Phone

(561) 433-0008

NPI assigned

Apr 23, 2007

Last updated

Aug 22, 2020By 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. Jonathan S Petrover, DDS

Title

Doctor

Phone

(561) 433-0008

Specialties & licenses 1

Addresses

Tax ID family

Jonathan S Petrover2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jonathan S. Petrover

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Boynton Beach, FL
  • NPI 1760601991
  NPD tax ID

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750509931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133303",
            "telephone_number": "561-433-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 FOREST HILL BLVD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334133303",
            "telephone_number": "561-433-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN S. PETROVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETROVER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "561-433-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN14233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marie Denise JN Pierre Metellus, APRN
• Jnna Health Solution (BrightStar Care of Wellington)
• Nigel Johnson
• Paul Jones
• Wisline Josaphat, LMHC
• Carlos Joseph
• Patrice Saul Joseph
• Paul Joseph, PA,

• Orthodontics and Dentofacial Orthopedics Dentistry in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Orthodontics and Dentofacial Orthopedics 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.