Shenoti and Besa Holdings

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHENOTI AND BESA HOLDINGS

Doing business as

Nocatee Smile Company

Practice address

40 Tavernier Dr
Ponte Vedra Beach, FL 32081-0677

Phone

(904) 515-3308

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Awad, DMD

Title

Ceo and Dentist

Phone

(904) 515-3308

Specialties & licenses 4

Addresses

Other names 1

• Nocatee Smile Company Doing business as

Locations

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1760237002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TAVERNIER DR STE E",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320810677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TAVERNIER DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320810677",
            "telephone_number": "904-515-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENOTI AND BESA HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO AND DENTIST",
        "authorized_official_telephone_number": "904-515-3308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nocatee Smile Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nocatee Smile Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kristin Skipper, APRN-BC

• General Practice Dentistry in Ponte Vedra Beach, FL
• Providers in Ponte Vedra 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 Oct 21, 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.