NPIMap

Organization Active NPI

West Side Dental Associates

Doing business as Matthew J Henry DDS and Robert R Cowie DDS

  • Dental Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1841763539
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
WEST SIDE DENTAL ASSOCIATES
Doing business as
Matthew J Henry DDS and Robert R Cowie DDS
Practice address
6223 Sauterne Dr
Jacksonville, FL 32210-7728
Phone
(904) 771-0568
NPI assigned
Jan 7, 2019
Last updated
Jan 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Authorized official

Name
Dr. Matthew Jackson Henry, DDSNPI 1902967177
Title
Owner/Manager
Phone
(305) 336-0554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6223 Sauterne Dr
Jacksonville, FL 32210-7728

Mailing address

6223 Sauterne Dr
Jacksonville, FL 32210-7728
Phone (904) 771-0568

Other names 1

  • Matthew J Henry DDS and Robert R Cowie DDS Doing business as

National Provider Directory

National Provider Directory

Locations

6223 Sauterne Dr
Jacksonville, FL 32210
Phone (904) 771-0568

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1841763539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 SAUTERNE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107728",
            "telephone_number": "904-771-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 SAUTERNE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107728",
            "telephone_number": "904-771-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "305-336-0554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew J Henry DDS and Robert R Cowie DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.