Organization Active NPI

Pamela J. Skaff DDS

Doing business as Dental Design

  • General Practice Dentistry
  • Ponte Vedra, FL
National Provider Identifier
1912120296
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10636 Issued in FL
Legal business name
PAMELA J. SKAFF DDS
Doing business as
Dental Design
Practice address
200 Solana Rd
Ponte Vedra, FL 32082-2232
Phone
(904) 280-2884
Fax
(904) 280-2886
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Dr. Pamela J Skaff, DDS
Title
Dentist
Phone
(904) 280-2884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN10636 FL Primary

Addresses

Primary practice location

200 Solana Rd
Ponte Vedra, FL 32082-2232

Mailing address

200 Solana Rd
Ponte Vedra, FL 32082-2232
Phone (904) 280-2884

Other names 1

  • Dental Design Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1912120296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SOLANA RD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320822232",
            "telephone_number": "904-280-2884",
            "fax_number": "904-280-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOLANA RD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320822232",
            "telephone_number": "904-280-2884",
            "fax_number": "904-280-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA J. SKAFF DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "SKAFF",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-280-2884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.