Affordable Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

DN18774 Issued in FL

Legal business name

AFFORDABLE DENTAL CARE

Practice address

5705 Lee Blvd
Unit 13
Lehigh Acres, FL 33971-6342

Phone

(239) 337-0391

Fax

(239) 443-4516

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Martin Jenkins, DDS

Title

President

Phone

(239) 337-0391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1992161095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5705 LEE BLVD",
            "address_2": "UNIT 13",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716342",
            "telephone_number": "239-337-0391",
            "fax_number": "239-443-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 LEE BLVD",
            "address_2": "UNIT 13",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339716342",
            "telephone_number": "239-337-0391",
            "fax_number": "239-443-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-337-0391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Lehigh Acres, FL
• Providers in Lehigh Acres, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.