Douglas C Wendt, Jr., D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

10196 Issued in FL

Legal business name

DOUGLAS C WENDT, JR., D.D.S.

Practice address

268 S Moon Ave
Brandon, FL 33511-5711

Phone

(813) 684-8085

Fax

(813) 684-7971

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Douglas C Wendt Jr., D.D.S.NPI 1407877400

Title

Dr. Douglas C. Wendt, Jr., D.D.S.

Phone

(813) 684-8085

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas C Wendt Jr., D.D.S.

  • Periodontics
  • Brandon, FL
  • NPI 1407877400
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922139294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 S MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115711",
            "telephone_number": "813-684-8085",
            "fax_number": "813-684-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 S MOON AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115711",
            "telephone_number": "813-684-8085",
            "fax_number": "813-684-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS C WENDT, JR., D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENDT",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DR. DOUGLAS C. WENDT, JR., D.D.S.",
        "authorized_official_telephone_number": "813-684-8085",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "10196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesnearsha Dorvilier
• John David Dos Passos II, DMD
• Doses by Danzi L.L.C.
• Carissa Dosio-Gibbs
• Whitney Doub, CCC-SLP
• Douglas Scott Stafford, D.M.D., P.a. (Stafford Dentistry)
• Ainka Douglas
• Daja Daveda Douglas
• Deshona Douglas
• Hannah Nicole Douglas

• Periodontics in Brandon, FL
• Providers in Brandon, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.