Fernando Orestes San Juan Jr., D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN20988 Issued in FL

Practice address

840 US 1 Ste 350
North Palm Beach, FL 33408-3834

Phone

(561) 694-1740

NPI assigned

Sep 26, 2014

Sex

Male

Sole proprietor

No

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

Locations

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

• Fernando San Juan, DDS, PA

  • General Practice Dentistry
  • Miami, FL
  • NPI 1760459598
  NPD (past) Authorized official
• Shah Dental PLLC

  • Dental Clinic/Center
  • North Palm Beach, FL
  • NPI 1013717081
  NPD

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1972906550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SE HAMPSHIRE WAY APT 201",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945770",
            "telephone_number": "305-308-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 US 1 STE 350",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083834",
            "telephone_number": "561-694-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6882 Coral Way",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331551704",
            "country_code": "US",
            "telephone_number": "305-662-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAN JUAN",
        "first_name": "FERNANDO",
        "middle_name": "ORESTES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell B Stoch DMD PA
• Samantha Marie Sabada
• Sage Chiropractic Incorporated
• Cristina Jasmin Salas, RMFTI
• Sami Sehayik, M.D., P.a.
• Leynard Dave Sanchez
• Kevin Santos III
• Saramy Enterprises Inc
• Thomas F Saylor, MD
• Leslie Schemer

• Dentist in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.