Affordable Dentures - West Melbourne, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

DN15694 Issued in FL

Legal business name

AFFORDABLE DENTURES - WEST MELBOURNE, P.A.

Practice address

1529 W New Haven Ave
West Melbourne, FL 32904-3927

Phone

(321) 725-6570

Fax

(321) 725-6599

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By 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

Timothy Luong, DDS

Title

Practice Owner

Phone

(321) 725-6570

Specialties & licenses 1

Addresses

Tax ID family

Affordable Dentures - West Melbourne 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.

• Affordable Dentures - West Melbourne, P.a.

  • Dentist
  • West Melbourne, FL
  • NPI 1558496737
  NPD tax ID

Locations

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1881146686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043927",
            "telephone_number": "321-725-6570",
            "fax_number": "321-725-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 W NEW HAVEN AVE",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329043927",
            "telephone_number": "321-725-6570",
            "fax_number": "321-725-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - WEST MELBOURNE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "LUONG",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "321-725-6570",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcelo Ablaza
• Mouna Abzekka
• Michelle Elizabeth Acuna, M.A., CCC-SLP
• Adult Day Services of Florida
• Affordable Dentures - West Melbourne, P.a.
• Affordable Dentures & Implants - West Melbourne II, P.a. (Affordable Dentures & Implants - West Melbourne)
• Ameen Alameen
• Nina Marie Albonico
• Alexander Therapy Services LLC
• Amber Alexander, OT

• Dentist in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.