Tradition Dental, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRADITION DENTAL, P.A.

Doing business as

Tradition Dental Group

Practice address

1973 SW Savage Blvd Ste 205
Port St Lucie, FL 34953-2791

Phone

(772) 207-1213

Fax

(772) 877-2862

NPI assigned

Jan 11, 2018

Organization subpart

No

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

Authorized official

Name

Mina Harrouff

Title

Secretary

Phone

(561) 401-5006

Specialties & licenses 1

Addresses

Other names 1

• Tradition Dental Group Doing business as

Locations

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1801304977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 SW SAVAGE BLVD STE 205",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532791",
            "telephone_number": "772-207-1213",
            "fax_number": "772-877-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 SW SAVAGE BLVD STE 205",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349532791",
            "telephone_number": "772-207-1213",
            "fax_number": "772-877-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRADITION DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "HARROUFF",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "561-401-5006"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tradition Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Randall Towbin, M.D.
• Town Centre Dental Associates
• Alyssa Townsend, LCSW
• Jason Matthew Townsley, D.C.
• Sheena Tracey
• Tradition Family Chiropractic
• Tradition Health and Wellness Clinic PLLC
• Tradition Home Care, LLC
• Tradition Surgery Center, LLC
• Trainor Pediatric Speech and Language Therapy Inc

• General Practice Dentistry in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.