J. F. Foretich, Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401007967 Issued in VA

Legal business name

J. F. FORETICH, JR., D.D.S.

Doing business as

a division of Atlantic Dental Care

Practice address

716 Denbigh Blvd
Ste B-4
Newport News, VA 23608-4414

Phone

(757) 877-0775

Fax

(757) 877-0773

NPI assigned

Nov 4, 2014

Last updated

Nov 4, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ATLANTIC DENTAL CARE, PLCAs reported in NPPES

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

Authorized official

Name

Dr. Jerome Francis Foretich Jr., DDSNPI 1285703363

Title

Dentist

Phone

(757) 877-0775

Specialties & licenses 1

Addresses

Other names 1

• a division of Atlantic Dental Care Doing business as

Part of

Tracy S Oliver DDS PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Atlantic Dental Care, PLC

  • Dentist
  • Virginia Beach, VA
  • NPI 1831434711
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerome Francis Foretich Jr., DDS

  • General Practice Dentistry
  • Newport News, VA
  • NPI 1285703363
  NPD (past) Authorized official

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1770988644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 DENBIGH BLVD",
            "address_2": "STE B-4",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084414",
            "telephone_number": "757-877-0775",
            "fax_number": "757-877-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 DENBIGH BLVD",
            "address_2": "STE B-4",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236084414",
            "telephone_number": "757-877-0775",
            "fax_number": "757-877-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. F. FORETICH, JR., D.D.S.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE, PLC",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "FORETICH",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-877-0775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401007967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "a division of Atlantic Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Newport News, VA
• Providers in Newport News, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.