Organization Active NPI

Mark P Abood DDS Theresa B Abood DMD

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1942416458
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8816 Issued in FL
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark P Abood, DDSNPI 1588878565
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.