Palm Tree Dental Center

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN0013338 Issued in FL

Legal business name

PALM TREE DENTAL CENTER

Practice address

6200 20TH St Ste 292
Vero Beach, FL 32966-1079

Phone

(772) 778-5773

Fax

(772) 778-6944

NPI assigned

Jan 13, 2007

Last updated

Aug 22, 2020By 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. James Witulski, DDS

Title

Owner

Phone

(772) 778-5773

Specialties & licenses 1

Addresses

Locations

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.

• Maynard Joseph Fox

  • General Practice Dentistry
  • Ocala, FL
  • NPI 1871884189
  NPD (past)
• Johns Hastings, DDS

  • General Practice Dentistry
  • Vero Beach, FL
  • NPI 1073654117
  NPD (past)
• Disha Girish Patel, D.M.D

  • Dentist
  • Vero Beach, FL
  • NPI 1457493538
  NPD (past)

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790836294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 20TH ST STE 292",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329661079",
            "telephone_number": "772-778-5773",
            "fax_number": "772-778-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 20TH ST STE 292",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329661079",
            "telephone_number": "772-778-5773",
            "fax_number": "772-778-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM TREE DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITULSKI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-778-5773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN0013338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yadira Padin-Rojas, MD
• Ryan Padnuk, AP
• Pain Intervention Associates LLC
• Pain Management Institute of Florida PA
• Palm Garden of Vero Beach LLC (Palm Garden of Vero Beach)
• Palmer Chiropratic LLC (Palmer Chiropractic LLC)
• J.L. Palmer, D.C.
• Laurie A Palmer, OTR
• Taylor A Palmitier, PSY.D
• Lauren Paluzzi

• Periodontics in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Periodontics 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.