Dental Spa P.S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2729 Issued in PR

Legal business name

DENTAL SPA P.S.C.

Practice address

250 Calle del Parque
Suite 1a
San Juan, PR 00912-3200

Phone

(787) 725-4848

NPI assigned

May 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Angel L Davila Pabon, D.M.DNPI 1023094596

Title

Owner

Phone

(787) 725-4848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Angel Davila-Pabon, DDS

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1023094596
  NPD (past) Authorized official

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1801156013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 AVE ASHFORD",
            "address_2": "COND. CONDADO DEL MAR APT # 410",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071583",
            "telephone_number": "787-725-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CALLE DEL PARQUE",
            "address_2": "SUITE 1A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123200",
            "telephone_number": "787-725-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPA P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "DAVILA PABON",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-725-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Esthetic Solutions
• Dental Excellence,PSC
• Dental Gallery PSC
• Dental Place LLC
• Dental Services Network LLC
• Dental World
• Dentist@Latienda, LLC
• Dentx LLC
• Deo PR Retail 1 LLC
• Deparment of Veterans Affairs

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.