NPIMap

Organization Active NPI

Affordable Dentures-Penscola, P.a.

  • Dentist
  • Pensacola, FL
National Provider Identifier
1881005411
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17855 Issued in FL
Legal business name
AFFORDABLE DENTURES-PENSCOLA, P.A.
Practice address
8102 N Davis Hwy
Suite 14
Pensacola, FL 32514-6083
Phone
(850) 478-5605
Fax
(850) 478-5606
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Dr. Yiqian Dong, DDSNPI 1205961612
Title
Owner
Phone
(850) 478-5605

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN17855 FL Primary

Addresses

Primary practice location

8102 N Davis Hwy
Suite 14
Pensacola, FL 32514-6083

Mailing address

8102 N Davis Hwy
Suite 14
Pensacola, FL 32514-6083
Phone (850) 478-5605

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentures - Pensacola PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8102 N Davis Hwy
Ste 14
Pensacola, FL 32514
Phone (850) 384-8350

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1881005411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 N DAVIS HWY",
            "address_2": "SUITE 14",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146083",
            "telephone_number": "850-478-5605",
            "fax_number": "850-478-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 N DAVIS HWY",
            "address_2": "SUITE 14",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146083",
            "telephone_number": "850-478-5605",
            "fax_number": "850-478-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES-PENSCOLA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "DONG",
        "authorized_official_first_name": "YIQIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-478-5605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.