Fups Dental, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

13959 Issued in FL

Legal business name

FUPS DENTAL, INC.

Doing business as

One Day Denture

Practice address

1329 Lane Ave S Ste 1
Jacksonville, FL 32205-6111

Phone

(904) 683-0415

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Javier Santiago, DDS

Title

Owner

Phone

(904) 738-7735

Specialties & licenses 1

Addresses

Other names 1

• One Day Denture Doing business as

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1982952487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LANE AVE S STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056111",
            "telephone_number": "904-738-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LANE AVE S STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056111",
            "telephone_number": "904-683-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUPS DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-738-7735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "13959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Day Denture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina Fungcharoen
• Kimberley Anne Funk, CCC-SLP
• Madison Kimble Funk, CRNA
• Zackary McKain Funk, MD
• Tiara Funkhouser, PA
• Paula Strange Fuqua, PHARM.D.
• Todd Nelson Furman, P.T.
• Jennifer Furones
• Laura Furtado Pessoa de Mendonca, MD
• Furtherance Private Care LLC

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.