Bay Dental, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

DN12887 Issued in FL

Legal business name

BAY DENTAL, INC

Practice address

461 E Ten Mile Rd
Pensacola, FL 32534-9712

Phone

(850) 474-0038

Fax

(850) 474-0055

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Slavoljub Djuric, D.D.S.

Title

President

Phone

(850) 474-0038

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1780073189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 E TEN MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349712",
            "telephone_number": "850-474-0038",
            "fax_number": "850-474-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 E TEN MILE RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349712",
            "telephone_number": "850-474-0038",
            "fax_number": "850-474-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "DJURIC",
        "authorized_official_first_name": "SLAVOLJUB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-474-0038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.