Three Palms Dental

Primary specialty

DentistTaxonomy code 122300000X

License

DN6731 Issued in FL

Legal business name

THREE PALMS DENTAL

Doing business as

Aesthetic Dental of Jupiter

Practice address

2151 S Hwy A1A Alt
Suite 1300
Jupiter, FL 33477-4112

Phone

(561) 575-5599

Fax

(561) 575-3820

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charles Michael Braverman, DDS

Title

Owner

Phone

(561) 575-5599

Specialties & licenses 1

Addresses

Other names 1

• Aesthetic Dental of Jupiter Doing business as

Locations

Practitioners 2

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

• David Jabbok Cabanzon, DDS

  • Dentist
  • Jupiter, FL
  • NPI 1609913953
  NPD (past)
• Thomas J Dwork, DMD

  • Prosthodontics
  • Jupiter, FL
  • NPI 1336251552
  NPD (past)

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1902247356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S HWY A1A ALT",
            "address_2": "SUITE 1300",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774112",
            "telephone_number": "561-575-5599",
            "fax_number": "561-575-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S HWY A1A ALT",
            "address_2": "SUITE 1300",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774112",
            "telephone_number": "561-575-5599",
            "fax_number": "561-575-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE PALMS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-575-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN6731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Dental of Jupiter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christen Thompson, LMHC, NCC
• Delight C. a. Thompson, PSY.D., ED.M.
• Travis Thompson
• Cathy B Thomson, MD
• Thorough Pharmacists Inc (Palm Beach Compounding Pharmacy)
• Thrive Wellness and Primary Care, LLC
• Steven M Tidwell, M.D.
• Richard Milton Tiegen, A.P., D.M.D.
• Vivian Ellen Tiegen, RDN.,L.D.N., C.D.E.
• Tiny Shooting Stars Inc.

• Dentist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.