John Arthur Anderson, P.a.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN9065 Issued in FL

Legal business name

JOHN ARTHUR ANDERSON, P.A.

Doing business as

Daytona Denture Center

Practice address

1516 S Nova Rd
Daytona Beach, FL 32114-5816

Phone

(386) 258-6964

Fax

(386) 258-9134

NPI assigned

Oct 19, 2006

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. John Arthur Anderson, DDS, MS

Title

President

Phone

(386) 258-6964

Specialties & licenses 1

Addresses

Other names 1

• Daytona Denture Center Doing business as

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841372026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13759 SAXON LAKE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S NOVA RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145816",
            "telephone_number": "386-258-6964",
            "fax_number": "386-258-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ARTHUR ANDERSON, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-258-6964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN9065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daytona Denture Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthodontics in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Prosthodontics 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.