PF Dent, PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PF DENT, PA

Practice address

205 Zeagler Dr Ste 502
Palatka, FL 32177-3887

Phone

(386) 328-1500

NPI assigned

Jul 17, 2023

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Heath Pruitt, DMDNPI 1144887852

Title

Manager

Phone

(352) 875-1729

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Patrick Pruitt

  • Dentist
  • Oxford, FL
  • NPI 1144887852
  NPD Authorized official
• Evan McVicker

  • Dentist
  • Palatka, FL
  • NPI 1265327704
  NPD
• Jeffrey Reid Slotten, D.D.S.

  • General Practice Dentistry
  • Palatka, FL
  • NPI 1740490945
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1790464733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 COUNTRY CLUB BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ZEAGLER DR STE 502",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773887",
            "telephone_number": "386-328-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PF DENT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "HEATH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-875-1729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Pendrak, MD
• Peopleone Health Florida, LLC
• Richard A. Perallon, DMD
• Maria Del Carmen Perez-Garcia, MD
• Teresa A Perez, LMHC CAP
• Susan M Pham, PHARM.D.
• Carroll Niles Phillips II, DO
• Paula Beryl Phillips, A.R.N.P.
• Roshonda Vedasha Phillips, RN
• Physimed, P.a.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.