Prohealth Dentist FL PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN20385 Issued in FL

Legal business name

PROHEALTH DENTIST FL PLLC

Practice address

4945 Arapahoe Ave
Jacksonville, FL 32210-8335

Phone

(844) 700-0088

Fax

(844) 700-0088

NPI assigned

Jan 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brittany L Jones, D.M.D.

Title

Owner

Phone

(844) 700-0088

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1831555739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N HENRY ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142439",
            "telephone_number": "844-700-0088",
            "fax_number": "844-700-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 ARAPAHOE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322108335",
            "telephone_number": "844-700-0088",
            "fax_number": "844-700-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH DENTIST FL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-700-0088",
        "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": "FL",
            "license": "DN20385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Diana Profetto, PTA
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• Randy James Prokes, M.D.
• Prolab Solutions LLC

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, 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 7, 2016; 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.