Organization Active NPI

Affordable Dentures & Implants - Tallahassee IV, P.a.

  • General Practice Dentistry
  • Tallahassee, FL
National Provider Identifier
1770304685
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - TALLAHASSEE IV, P.A.
Doing business as
Affordable Dentures & Implants - Tallahassee
Practice address
2810 Sharer Rd Ste 17
Tallahassee, FL 32312-2107
Phone
(850) 385-5188
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Duhwan Rasmussen, DMD
Title
Owner
Phone
(850) 385-5188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2810 Sharer Rd Ste 17
Tallahassee, FL 32312-2107

Mailing address

2810 Sharer Rd Ste 17
Tallahassee, FL 32312-2107
Phone (850) 385-5188

Other names 1

  • Affordable Dentures & Implants - Tallahassee Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1770304685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 SHARER RD STE 17",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122107",
            "telephone_number": "850-385-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 SHARER RD STE 17",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323122107",
            "telephone_number": "850-385-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - TALLAHASSEE IV, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "DUHWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-385-5188",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentures & Implants - Tallahassee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.