Organization Active NPI

Family Dentistry of Jensen Beach PLLC

  • Dental Clinic/Center
  • Jensen Beach, FL
National Provider Identifier
1902553357
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FAMILY DENTISTRY OF JENSEN BEACH PLLC
Practice address
3571 NW Federal Hwy
Jensen Beach, FL 34957-4454
Phone
(772) 444-0601
Fax
(772) 444-3371
NPI assigned
Mar 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Authorized official

Name
Dr. Sean Tomalty, DMD
Title
Dentist/Owner
Phone
(561) 789-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3571 NW Federal Hwy
Jensen Beach, FL 34957-4454

Mailing address

8794 W Boynton Beach Blvd Ste 218
Boynton Beach, FL 33472-4469
Phone (561) 789-6611

Other names 1

  • Family Dentistry of Jensen Beach Doing business as

National Provider Directory

National Provider Directory

Locations

3571 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 444-0601

NPI Registry JSON

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

{
    "created_epoch": "1646524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646524800000",
    "number": "1902553357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 W BOYNTON BEACH BLVD STE 218",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724469",
            "telephone_number": "561-789-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 NW FEDERAL HWY",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349574454",
            "telephone_number": "772-444-0601",
            "fax_number": "772-444-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF JENSEN BEACH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-06",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A",
        "authorized_official_last_name": "TOMALTY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "561-789-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dentistry of Jensen Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2022; 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.