Active NPI
Mark P Abood DDS Theresa B Abood DMD
- General Practice Dentistry
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8816
- Legal business name
- MARK P ABOOD DDS THERESA B ABOOD DMD
- Practice address
- 9401 Waypoint PL
Jacksonville, FL 32257-9229 - Phone
- (904) 733-1900
- Fax
- (904) 733-6230
- NPI assigned
- May 15, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark P Abood, DDS
- Title
- Owner
- Phone
- (904) 733-1900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8816 | FL | Primary |
Addresses
Primary practice location
9401 Waypoint PL
Jacksonville, FL 32257-9229
Mailing address
9401 Waypoint PL
Jacksonville, FL 32257-9229
Phone (904) 733-1900
National Provider Directory
National Provider DirectoryLocations
9401 Waypoint Pl
Jacksonville, FL 32257
Phone (904) 733-1900
Practitioners & affiliated clinicians
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.
-
- Dentist
- Jacksonville, FL
- NPI 1588878565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942416458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 WAYPOINT PL",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322579229",
"telephone_number": "904-733-1900",
"fax_number": "904-733-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 WAYPOINT PL",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322579229",
"telephone_number": "904-733-1900",
"fax_number": "904-733-6230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK P ABOOD DDS THERESA B ABOOD DMD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ABOOD",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-733-1900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "8816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- 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.