Angel R Vasquez DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ANGEL R VASQUEZ DMD PA

Doing business as

Serenity Dental Studio

Practice address

208 West 19TH Ave
Gulf Shores, AL 36542

Phone

(251) 968-8789

Fax

(251) 968-6520

NPI assigned

Jun 17, 2021

Last updated

Jun 17, 2021By 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. Angel R VasquezNPI 1841690997

Title

Owner

Phone

(251) 968-8789

Specialties & licenses 1

Addresses

Other names 1

• Serenity Dental Studio Doing business as

Practitioners 1

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.

• Angel R Vasquez, DMD

  • General Practice Dentistry
  • Destin, FL
  • NPI 1841690997
  NPD Authorized official

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1871161562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WEST 19TH AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "36542",
            "telephone_number": "251-968-8789",
            "fax_number": "251-968-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 WEST 19TH AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "36542",
            "telephone_number": "251-968-8789",
            "fax_number": "251-968-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL R VASQUEZ DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-968-8789",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Jaquay Adams, LCSW, PIP
• Advanced Aesthetics Dental Center and Spa
• Alabama CVS Pharmacy LLC (CVS Pharmacy #17236)
• Alabama Providence Healthcare Services (Providence Medical Group - Gulf Shores)
• Shelly Lee Alexander, M.S., OT/L
• Clarissa Jordan Annan, CRNP
• Nadia Arnold
• Dacy Reynolds Atchison, PHARM.D.
• Attune Therapeutic Services
• Rebecca Lee Branum Autrey, PNP

• General Practice Dentistry in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.