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

9804 S Military TRL Ste E4
Boynton Beach, FL 33436-3291

Phone

(561) 364-0013

Fax

(561) 364-9292

NPI assigned

Apr 25, 2007

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) 364-0013

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
  • Greenacres, FL
  • NPI 1750509931
  NPD tax ID

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760601991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9804 S MILITARY TRL STE E4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363291",
            "telephone_number": "561-364-0013",
            "fax_number": "561-364-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9804 S MILITARY TRL STE E4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363291",
            "telephone_number": "561-364-0013",
            "fax_number": "561-364-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN S. PETROVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "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": "561-364-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN14233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Johnson
• Yolanda Gail Johnson
• Clare Josephine Johnston, AGPCNP-BC
• Jolly Transport
• Jonathan S Criss MD LLC
• Allison Jones-Murphy
• Melanie Gabrielle Jones
• Robin Jones
• Stepfan Jones
• Stephanie Jones

• Orthodontics and Dentofacial Orthopedics Dentistry in Boynton Beach, FL
• Providers in Boynton Beach, 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.