Organization Active NPI

Elizabeth Alfuente, DMD, PLLC

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1952704280
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18628 Issued in FL
Legal business name
ELIZABETH ALFUENTE, DMD, PLLC
Practice address
12777 Atlantic Blvd
Ste #26
Jacksonville, FL 32225-7120
Phone
(904) 221-3550
Fax
(904) 221-3227
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Dr. Elizabeth Alfuente, DMDNPI 1447487350
Title
Member
Phone
(904) 221-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN18628 FL Primary

Addresses

Primary practice location

12777 Atlantic Blvd
Ste #26
Jacksonville, FL 32225-7120

Mailing address

12777 Atlantic Blvd
Ste #26
Jacksonville, FL 32225-7120
Phone (904) 221-3550

Other names 1

  • Atlantic Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

12777 Atlantic Blvd
Ste 26
Jacksonville, FL 32225
Phone (904) 221-3550

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1952704280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12777 ATLANTIC BLVD",
            "address_2": "STE #26",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257120",
            "telephone_number": "904-221-3550",
            "fax_number": "904-221-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 ATLANTIC BLVD",
            "address_2": "STE #26",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257120",
            "telephone_number": "904-221-3550",
            "fax_number": "904-221-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH ALFUENTE, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "ALFUENTE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "904-221-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 1, 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.