Island Dentists

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ISLAND DENTISTS

Practice address

1023 Saint Johns Ave
Palatka, FL 32177-4651

Phone

(386) 385-3700

NPI assigned

Feb 27, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Rex Painter, D.D.S

Title

Dentist

Phone

(904) 540-9299

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1891551834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774651",
            "telephone_number": "386-385-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774651",
            "telephone_number": "386-385-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-540-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita R. Ingram
• Integrated Community Oncology Network LLC
• Integrated Community Oncology Network LLC
• Integrated Regional Laboratories Pathology Services, LLC
• William Irion, RN
• Jack H Soliman MD PA
• Jack M Matheny II, MD, LLC
• Jack M Matheny II, MD, LLC
• Jack M. Matheny II, M.D.
• Jack M. Matheny II, MD

• Dental Clinic/Center in Palatka, FL
• Providers in Palatka, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.