Jonathan W Preble, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0012540 Issued in FL

Practice address

499 E Central Pkwy
Suite 200
Altamonte Springs, FL 32701-3402

Phone

(407) 831-3959

Fax

(407) 831-0751

NPI assigned

Apr 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Altamonte Springs Dental, PLLC

  • Dental Clinic/Center
  • Altamonte Springs, FL
  • NPI 1679109920
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932322898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY",
            "address_2": "SUITE 200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013402",
            "telephone_number": "407-831-3959",
            "fax_number": "407-831-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PKWY",
            "address_2": "SUITE 200",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327013402",
            "telephone_number": "407-831-3959",
            "fax_number": "407-831-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREBLE",
        "first_name": "JONATHAN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0012540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William D. Powell, BA CASE MANAGER
• Michelle Aileen Powers
• Sam David Pratt, RPH, FIACP
• Robyn Prebenda, LMHC, M.ED.
• Don M. Preble, DMD
• Precision Eye Care Center LLC
• Premaplay LLC
• Premier Care of Central Florida LLC
• Premier Podiatry Associates, LLC (Premier Podiatry Associates)
• Premier Vascular Institute LLC

• General Practice Dentistry in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.